Matysik, Gregory John
Matysik, Gregory John is an sole proprietor health care provider with primary practice located at 300 Femrite Dr , Monona WI 53716-3716. He recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is his primary health care specialty. Matysik, Gregory John can be contacted via phone (608) 222-7311.Contact Information
Primary practice address
300 Femrite Dr
Monona WI 53716-3716
Phone: (608) 222-7311
Fax: (608) 222-0453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 3847 125 | Wisconsin |
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 15307 132 | Wisconsin |
Profile Details
NPI number | 1407170814 |
---|---|
LBN Legal business name | Matysik, Gregory John |
Credentials | LPC, CSAC, PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2010 |
Last updated | Mar 15th, 2010 - 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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