Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 390200000 | MA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 63145 | TN |
NPI | 1063874238 |
---|---|
Provider Name | Matthew Lee Rohlfing |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 15/07/2021 |