Paquette, Matthew J

Paquette, Matthew J is an individual health care provider with primary practice located at 4465 White Bear Parkway , White Bear Lake MN 55110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Paquette, Matthew J can be contacted via phone (651) 653-0062.

Contact Information

Primary practice address
4465 White Bear Parkway White Bear Lake MN 55110
Phone: (651) 653-0062
Fax: (651) 653-0288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36664 Minnesota

Profile Details

NPI number 1194726554
LBN Legal business name Paquette, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194726554 NPPES
Minnesota MEDICAID 842026200

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