Christophersen, Matthew C
Christophersen, Matthew C is an sole proprietor health care provider with primary practice located at 1228 E Rusholme St Ste 3020, Davenport IA 52803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Christophersen, Matthew C can be contacted via phone (563) 823-9300.Contact Information
Primary practice address
1228 E Rusholme St Ste 3020
Davenport IA 52803
Phone: (563) 823-9300
Fax: (563) 823-9330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34039 | Iowa |
Profile Details
| NPI number | 1629048939 |
|---|---|
| LBN Legal business name | Christophersen, Matthew C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | May 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629048939 | NPPES |
| Iowa | MEDICAID | 0237826 |
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