Kuiper, Matthew Lars

Kuiper, Matthew Lars is an individual health care provider with primary practice located at 3770 Glenkerry Ct , Portage MI 49024-0700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Kuiper, Matthew Lars can be contacted via phone (269) 329-2887.

Contact Information

Primary practice address
3770 Glenkerry Ct Portage MI 49024-0700
Phone: (269) 329-2887
Fax: (269) 329-2805
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 5101014357 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 5101014357 Michigan

Profile Details

NPI number 1407817349
LBN Legal business name Kuiper, Matthew Lars
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated May 5th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407817349 NPPES
Other 2030338 PHYSICIANS HEALTH PLAN IB
Other 7193668 PHYSICIANS HEALTH PLAN IB
Other 247282202 PHYSICIANS HEALTH PLAN IB
MEDICAID 4660402-11 PHYSICIANS HEALTH PLAN IB
Other 553910515 PHYSICIANS HEALTH PLAN IB
Other 2282530 PHYSICIANS HEALTH PLAN IB
Other 34418 PHYSICIANS HEALTH PLAN IB
Other P00209743 PHYSICIANS HEALTH PLAN IB
MEDICAID 4660396-11 PHYSICIANS HEALTH PLAN IB
MEDICAID 4630299-11 PHYSICIANS HEALTH PLAN IB

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