Dove, Matthew

Dove, Matthew is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Dove, Matthew can be contacted via phone (920) 674-5961.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Phone: (920) 674-5961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194413179
LBN Legal business name Dove, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2023
Last updated Apr 27th, 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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