Matje, Nathan R

Matje, Nathan R is an individual health care provider with primary practice located at 1111 Delafield St Suite 120, Waukesha WI 53188-3417. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Matje, Nathan R can be contacted via phone (262) 544-5311.

Contact Information

Primary practice address
1111 Delafield St Suite 120 Waukesha WI 53188-3417
Fax: (262) 544-6820
Website:

Health care specialties

Profile Details

NPI number 1285675926
LBN Legal business name Matje, Nathan R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Oct 24th, 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 1285675926 NPPES
Wisconsin MEDICAID 36114100

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