Provider Demographics
NPI:1235959545
Name:BUCHDRUCKER, MATTHEW GERHARDT (CPRS)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:GERHARDT
Last Name:BUCHDRUCKER
Suffix:
Gender:
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E GAMBIER ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-3510
Mailing Address - Country:US
Mailing Address - Phone:740-397-2660
Mailing Address - Fax:740-392-3613
Practice Address - Street 1:106 E GAMBIER ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-3510
Practice Address - Country:US
Practice Address - Phone:740-397-2660
Practice Address - Fax:740-392-3613
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.005590175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist