Sardelli, Matthew Carl

Sardelli, Matthew Carl is an individual health care provider with primary practice located at 4466 W Bristol Rd , Flint MI 48507-3170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sardelli, Matthew Carl can be contacted via phone (810) 733-1200.

Contact Information

Primary practice address
4466 W Bristol Rd Flint MI 48507-3170
Fax: (810) 733-0688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301084379 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301084379 Michigan

Profile Details

NPI number 1992992705
LBN Legal business name Sardelli, Matthew Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Nov 3rd, 2011 - about 13 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 1992992705 NPPES
Michigan Other 0N45090 GRP MEDICARE
Michigan MEDICAID 1992992705 GRP MEDICARE

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