Bettag, Matthew Edward
Bettag, Matthew Edward is an individual health care provider with primary practice located at 1520 N Meade St , Appleton WI 54911-3762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bettag, Matthew Edward can be contacted via phone (920) 734-7181.Contact Information
Primary practice address
1520 N Meade St
Appleton WI 54911-3762
Phone: (920) 734-7181
Fax: (920) 734-0621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 44145 | Wisconsin |
Profile Details
| NPI number | 1487646675 |
|---|---|
| LBN Legal business name | Bettag, Matthew Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 30th, 2012 - about 13 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 | 1487646675 | NPPES |
| Wisconsin | MEDICAID | 34184900 |
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