Matzke, Thomas J

Matzke, Thomas J is an individual health care provider with primary practice located at 4656 40Th Ave S , Fargo ND 58104-4397. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Matzke, Thomas J can be contacted via phone (701) 234-8860.

Contact Information

Primary practice address
4656 40Th Ave S Fargo ND 58104-4397
Phone: (701) 234-8860
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 45261 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 10119 North Dakota

Profile Details

NPI number 1639121304
LBN Legal business name Matzke, Thomas J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 8th, 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.

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