Kaufenberg, Matthew Stuart
Kaufenberg, Matthew Stuart is an individual health care provider with primary practice located at 1835 County Road C W , Roseville MN 55113-1352. 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. Kaufenberg, Matthew Stuart can be contacted via phone (651) 638-0080.Contact Information
Primary practice address
1835 County Road C W
Roseville MN 55113-1352
Phone: (651) 638-0080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6426 | Minnesota |
Profile Details
NPI number | 1366533861 |
---|---|
LBN Legal business name | Kaufenberg, Matthew Stuart |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Jul 30th, 2010 - about 14 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 | 1366533861 | NPPES |
Minnesota | MEDICAID | 60845900 |
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