Dewaard, Matthew Jacob

Dewaard, Matthew Jacob is an sole proprietor health care provider with primary practice located at 1845 E Colgate Dr , Tempe AZ 85283-2205. 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. Dewaard, Matthew Jacob can be contacted via phone (480) 897-2541.

Contact Information

Primary practice address
1845 E Colgate Dr Tempe AZ 85283-2205
Phone: (480) 897-2541
Fax: (480) 897-2541
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1568644342
LBN Legal business name Dewaard, Matthew Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2007
Last updated Dec 3rd, 2007 - about 18 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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