Holder, Matthew Wayne

Holder, Matthew Wayne is an individual health care provider with primary practice located at 3047 William St , Cape Girardeau MO 63703-6393. 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. Holder, Matthew Wayne can be contacted via phone (573) 339-5989.

Contact Information

Primary practice address
3047 William St Cape Girardeau MO 63703-6393
Phone: (573) 339-5989
Fax: (573) 339-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 113907 Missouri

Profile Details

NPI number 1962535054
LBN Legal business name Holder, Matthew Wayne
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 18 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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