Anderson, Matthew Ray

Anderson, Matthew Ray is an individual health care provider with primary practice located at 23770 Hospital St , Cassopolis MI 49031-9699. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anderson, Matthew Ray can be contacted via phone (269) 445-3801.

Contact Information

Primary practice address
23770 Hospital St Cassopolis MI 49031-9699
Phone: (269) 445-3801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502002547 Michigan

Profile Details

NPI number 1821660770
LBN Legal business name Anderson, Matthew Ray
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Jul 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821660770 NPPES
Michigan Other 5502002547 PTA LICENSE #

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