Degroot, Matthew

Degroot, Matthew is an individual health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Degroot, Matthew can be contacted via phone (262) 741-2000.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Phone: (262) 741-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 390200000X Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 75660 Wisconsin

Profile Details

NPI number 1811494966
LBN Legal business name Degroot, Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2018
Last updated Jun 26th, 2023 - about 2 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 1811494966 NPPES
Wisconsin MEDICAID 100171155

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