Matthewis, Kristianna Dominique

Matthewis, Kristianna Dominique is an individual health care provider with primary practice located at 863 N Pine Rd Ste A, Essexville MI 48732-2159. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Matthewis, Kristianna Dominique can be contacted via phone (989) 928-3566.

Contact Information

Primary practice address
863 N Pine Rd Ste A Essexville MI 48732-2159
Phone: (989) 928-3566
Fax: (989) 391-9596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KM066182 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 4301066182 Michigan

Profile Details

NPI number 1235120023
LBN Legal business name Matthewis, Kristianna Dominique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 7th, 2017 - about 7 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 1235120023 NPPES
Michigan MEDICAID 4267386
Michigan Other H30738
Michigan Other P00060645
Michigan Other 383569775
Michigan Other 0807800522

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