Roszkowski, Matthew J
Roszkowski, Matthew J is an individual health care provider with primary practice located at 2500 Como Ave , St Paul MN 55108. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roszkowski, Matthew J can be contacted via phone (651) 999-4600.Contact Information
Primary practice address
2500 Como Ave
St Paul MN 55108
Phone: (651) 999-4600
Fax: (651) 632-8984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9337 | Minnesota |
Profile Details
| NPI number | 1134225469 |
|---|---|
| LBN Legal business name | Roszkowski, Matthew J |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1134225469 | NPPES |
| Minnesota | MEDICAID | 935020900 |
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