Lederer, Matthew Z

Lederer, Matthew Z is an individual health care provider with primary practice located at 650 W Ridgeview Dr , Appleton WI 54911-1254. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lederer, Matthew Z can be contacted via phone (920) 882-9662.

Contact Information

Primary practice address
650 W Ridgeview Dr Appleton WI 54911-1254
Phone: (920) 882-9662
Fax: (920) 882-9912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4009-012 Wisconsin

Profile Details

NPI number 1649210634
LBN Legal business name Lederer, Matthew Z
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649210634 NPPES
Wisconsin MEDICAID 38962400
Wisconsin MEDICAID 39002500
Wisconsin Other 753159145012
Wisconsin Other 5594680

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