Friederichs, Matthew G
Friederichs, Matthew G is an individual health care provider with primary practice located at 350 23Rd Ave E Ste 102 , West Fargo ND 58078-7402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Friederichs, Matthew G can be contacted via phone (701) 707-0200.Contact Information
Primary practice address
350 23Rd Ave E Ste 102
West Fargo ND 58078-7402
Phone: (701) 707-0200
Fax: (701) 707-0210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 46450 | Minnesota |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 9386 | North Dakota |
Profile Details
NPI number | 1790703338 |
---|---|
LBN Legal business name | Friederichs, Matthew G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Jun 6th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790703338 | NPPES |
North Dakota | MEDICAID | 12624 |
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