Agen, Matthew

Agen, Matthew is an individual health care provider with primary practice located at 2901 S Overland Rd , Hobart WI 54155-8959. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Agen, Matthew can be contacted via phone (920) 869-2797.

Contact Information

Primary practice address
2901 S Overland Rd Hobart WI 54155-8959
Phone: (920) 869-2797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13462-24 Wisconsin

Profile Details

NPI number 1265088942
LBN Legal business name Agen, Matthew
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2019
Last updated Aug 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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