Ennis, Matthew Louis

Ennis, Matthew Louis is an individual health care provider with primary practice located at 5840 26Th St W , Bradenton FL 34207-3522. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ennis, Matthew Louis can be contacted via phone (941) 752-5574.

Contact Information

Primary practice address
5840 26Th St W Bradenton FL 34207-3522
Phone: (941) 752-5574
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 796 Florida

Profile Details

NPI number 1891960837
LBN Legal business name Ennis, Matthew Louis
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 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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