Paul, Matthew Kenichi

Paul, Matthew Kenichi is an sole proprietor health care provider with primary practice located at 2662 Edith Ave , Redding CA 96001-3043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Paul, Matthew Kenichi can be contacted via phone (530) 395-0340.

Contact Information

Primary practice address
2662 Edith Ave Redding CA 96001-3043
Phone: (530) 395-0340
Fax: (530) 255-6107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A94289 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A94289 California

Profile Details

NPI number 1710943816
LBN Legal business name Paul, Matthew Kenichi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Apr 17th, 2023 - about last year

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 1710943816 NPPES
California MEDICAID 1710943816

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