Beauregard, Matthew J

Beauregard, Matthew J is an sole proprietor health care provider with primary practice located at 2601 S Wood Blvd , Goodyear AZ 85338-6914. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Beauregard, Matthew J can be contacted via phone (623) 302-5684.

Contact Information

Primary practice address
2601 S Wood Blvd Goodyear AZ 85338-6914
Phone: (623) 302-5684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1018 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT003591 Ohio

Profile Details

NPI number 1679342919
LBN Legal business name Beauregard, Matthew J
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2023
Last updated Dec 30th, 2023 - about 2 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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