Maki, Matthew John
Maki, Matthew John is an individual health care provider with primary practice located at 307 N Ball St , Owosso MI 48867-2801. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maki, Matthew John can be contacted via phone (989) 723-1101.Contact Information
Primary practice address
307 N Ball St
Owosso MI 48867-2801
Phone: (989) 723-1101
Fax: (989) 723-1665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003321 | Michigan |
Profile Details
| NPI number | 1023036159 |
|---|---|
| LBN Legal business name | Maki, Matthew John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023036159 | NPPES |
| Michigan | MEDICAID | 4723404 |
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