Matulle, Matthew

Matulle, Matthew is an sole proprietor health care provider with primary practice located at 6560 E State St T-0810, Rockford IL 61108-2545. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Matulle, Matthew can be contacted via phone (815) 227-9777.

Contact Information

Primary practice address
6560 E State St T-0810 Rockford IL 61108-2545
Phone: (815) 227-9777
Fax: (815) 227-9777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051292187 Illinois

Profile Details

NPI number 1831483163
LBN Legal business name Matulle, Matthew
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2011
Last updated Jun 3rd, 2011 - about 14 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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