Jacques, Matthew

Jacques, Matthew is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jacques, Matthew can be contacted via phone (701) 234-8700.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1624 North Dakota

Profile Details

NPI number 1679975205
LBN Legal business name Jacques, Matthew
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2014
Last updated Sep 26th, 2014 - about 11 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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