Pritikin, Matthew W

Pritikin, Matthew W is an sole proprietor health care provider with primary practice located at 1316 Sw Babcock Ave , Port Saint Lucie FL 34953-7303. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Pritikin, Matthew W can be contacted via phone (954) 701-0478.

Contact Information

Primary practice address
1316 Sw Babcock Ave Port Saint Lucie FL 34953-7303
Phone: (954) 701-0478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9372893 Florida

Profile Details

NPI number 1942838412
LBN Legal business name Pritikin, Matthew W
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2020
Last updated Mar 31st, 2020 - about 4 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 1942838412 NPPES
Florida Other 9372893 FLORIDA BOARD OF HEALTH/NURSING

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