Hettenbach, Matthew Anthony
Hettenbach, Matthew Anthony is an sole proprietor health care provider with primary practice located at 1244 Wisconsin Ave , Racine WI 53403-1987. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Hettenbach, Matthew Anthony can be contacted via phone (262) 687-2956.Contact Information
Primary practice address
1244 Wisconsin Ave
Racine WI 53403-1987
Phone: (262) 687-2956
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 10089 | Wisconsin |
Profile Details
| NPI number | 1003430729 |
|---|---|
| LBN Legal business name | Hettenbach, Matthew Anthony |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2020 |
| Last updated | May 29th, 2020 - about 5 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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