Patzke, Matthew F
Patzke, Matthew F is an sole proprietor health care provider with primary practice located at 3811 Spring Street Suite 102 , Racine WI 53405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Patzke, Matthew F can be contacted via phone (262) 687-5866.Contact Information
Primary practice address
3811 Spring Street Suite 102
Racine WI 53405
Phone: (262) 687-5866
Fax: (262) 687-5895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1340-39 | Wisconsin |
Profile Details
| NPI number | 1982021176 |
|---|---|
| LBN Legal business name | Patzke, Matthew F |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2014 |
| Last updated | Mar 25th, 2014 - about 11 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 | 1982021176 | NPPES |
| Wisconsin | Other | 1340-39 | STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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