Amidon, Matthew David
Amidon, Matthew David is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Amidon, Matthew David can be contacted via phone (414) 266-3360.Contact Information
Primary practice address
9000 W Wisconsin Ave
Milwaukee WI 53226-4874
Phone: (414) 266-3360
Fax: (414) 266-3563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.064656 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 67233 | Wisconsin |
Profile Details
| NPI number | 1164834735 |
|---|---|
| LBN Legal business name | Amidon, Matthew David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2014 |
| Last updated | Jul 28th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164834735 | NPPES |
| Wisconsin | MEDICAID | 1164834735 |
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