Matz, Kyle G
Matz, Kyle G is an individual health care provider with primary practice located at 2713 W Harvard Ave Ste 90 , Roseburg OR 97471-2600. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Matz, Kyle G can be contacted via phone (541) 430-2096.Contact Information
Primary practice address
2713 W Harvard Ave Ste 90
Roseburg OR 97471-2600
Phone: (541) 430-2096
Fax: (541) 637-0849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0726 | Oregon |
Profile Details
| NPI number | 1447559760 |
|---|---|
| LBN Legal business name | Matz, Kyle G |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2011 |
| Last updated | Sep 13th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447559760 | NPPES |
| Oregon | MEDICAID | 500646717 |
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