Kanzler, Matthew Harrison
Kanzler, Matthew Harrison is an individual health care provider with primary practice located at 3200 Kearney Street Dermatology Department, Fremont CA 94538-2299. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kanzler, Matthew Harrison can be contacted via phone (510) 490-1222.Contact Information
Primary practice address
3200 Kearney Street Dermatology Department
Fremont CA 94538-2299
Phone: (510) 490-1222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G57056 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G57056 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G57056 | California |
Profile Details
| NPI number | 1629032271 |
|---|---|
| LBN Legal business name | Kanzler, Matthew Harrison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | May 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629032271 | NPPES |
| California | MEDICAID | 00G570560 |
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