Mathiesen, Christian Edward
Mathiesen, Christian Edward is an sole proprietor health care provider with primary practice located at 154 West Ave , Saratoga Springs NY 12866-5902. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mathiesen, Christian Edward can be contacted via phone (518) 587-8442.Contact Information
Primary practice address
154 West Ave
Saratoga Springs NY 12866-5902
Phone: (518) 587-8442
Fax: (518) 587-8472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 032938 | New York |
Profile Details
| NPI number | 1497758486 |
|---|---|
| LBN Legal business name | Mathiesen, Christian Edward |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497758486 | NPPES |
| New York | MEDICAID | 1497758486 |
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