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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497758486 NPPES
New York MEDICAID 1497758486

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