Kwiatkowski, Matthew Alan

Kwiatkowski, Matthew Alan is an sole proprietor health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Kwiatkowski, Matthew Alan can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03233198 Ohio

Profile Details

NPI number 1992179840
LBN Legal business name Kwiatkowski, Matthew Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2015
Last updated Nov 16th, 2015 - about 9 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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