King, Matthew
King, Matthew is an sole proprietor health care provider with primary practice located at 2500 Galen Dr Ste 4 , Champaign IL 61821-7050. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. King, Matthew can be contacted via phone (217) 714-7042.Contact Information
Primary practice address
2500 Galen Dr Ste 4
Champaign IL 61821-7050
Phone: (217) 714-7042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20043313B | Indiana |
Profile Details
| NPI number | 1346849791 |
|---|---|
| LBN Legal business name | King, Matthew |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2020 |
| Last updated | Oct 17th, 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.
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