Dommer, Matthew

Dommer, Matthew is an individual health care provider with primary practice located at 125 S Kalamazoo Mall Suite 204, Kalamazoo MI 49007-4832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dommer, Matthew can be contacted via phone (269) 343-3900.

Contact Information

Primary practice address
125 S Kalamazoo Mall Suite 204 Kalamazoo MI 49007-4832
Phone: (269) 343-3900
Fax: (269) 343-5640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301067676 Michigan

Profile Details

NPI number 1891738852
LBN Legal business name Dommer, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 24th, 2010 - about 14 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 1891738852 NPPES
Michigan MEDICAID 10/4457925
Michigan MEDICAID 10/4450423
Michigan MEDICAID 104686919

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