Hoffman, Matthew Allen
Hoffman, Matthew Allen is an individual health care provider with primary practice located at 700 Geneva Pkwy N , Lake Geneva WI 53147-4594. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hoffman, Matthew Allen can be contacted via phone (262) 249-3500.Contact Information
Primary practice address
700 Geneva Pkwy N
Lake Geneva WI 53147-4594
Phone: (262) 249-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.018066 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11652-24 | Wisconsin |
Profile Details
| NPI number | 1003871716 |
|---|---|
| LBN Legal business name | Hoffman, Matthew Allen |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Aug 16th, 2023 - 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 | 1003871716 | NPPES |
| Wisconsin | MEDICAID | 100031530 |
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