Citron, Matthew Emanuel
Citron, Matthew Emanuel is an individual health care provider with primary practice located at 29201 Telegraph Rd Suite 301, Southfield MI 48034-1331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Citron, Matthew Emanuel can be contacted via phone (248) 356-0098.Contact Information
Primary practice address
29201 Telegraph Rd Suite 301
Southfield MI 48034-1331
Phone: (248) 356-0098
Fax: (248) 356-0424
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 5101014308 | Michigan |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5101014308 | Michigan |
Profile Details
NPI number | 1942258306 |
---|---|
LBN Legal business name | Citron, Matthew Emanuel |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Aug 17th, 2020 - about 5 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 | 1942258306 | NPPES |
Michigan | MEDICAID | 4871748 |
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