Danielson, Matthew Allen

Danielson, Matthew Allen is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 405 , Coon Rapids MN 55433-2773. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Danielson, Matthew Allen can be contacted via phone (763) 236-0888.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 405 Coon Rapids MN 55433-2773
Phone: (763) 236-0888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 60716 Minnesota

Profile Details

NPI number 1073879433
LBN Legal business name Danielson, Matthew Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Apr 24th, 2019 - about 6 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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