Hendricks, Matthew James
Hendricks, Matthew James is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. 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. Hendricks, Matthew James can be contacted via phone (715) 236-8100.Contact Information
Primary practice address
1700 W Stout St
Rice Lake WI 54868-5000
Phone: (715) 236-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1565 | Wisconsin |
Profile Details
| NPI number | 1346662830 |
|---|---|
| LBN Legal business name | Hendricks, Matthew James |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2014 |
| Last updated | Feb 7th, 2014 - about 10 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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