Bishop, Matthew Haley

Bishop, Matthew Haley is an individual health care provider with primary practice located at W173N10915 Bernies Way , Germantown WI 53022-4043. 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. Bishop, Matthew Haley can be contacted via phone (262) 509-3300.

Contact Information

Primary practice address
W173N10915 Bernies Way Germantown WI 53022-4043
Phone: (262) 509-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3055-19 Wisconsin

Profile Details

NPI number 1205426822
LBN Legal business name Bishop, Matthew Haley
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 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 1205426822 NPPES
Wisconsin MEDICAID 1154442515

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