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:
Health care specialties
Specialty | Code | License # | 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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