Schellenberg, Matthew Michael
Schellenberg, Matthew Michael is an individual health care provider with primary practice located at 74 E Kimballs Ln Ste 260 , Draper UT 84020-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schellenberg, Matthew Michael can be contacted via phone (801) 545-8480.Contact Information
Primary practice address
74 E Kimballs Ln Ste 260
Draper UT 84020-5009
Phone: (801) 545-8480
Fax: (801) 743-4765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6273825-1204 | Utah |
Profile Details
| NPI number | 1386855021 |
|---|---|
| LBN Legal business name | Schellenberg, Matthew Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 30th, 2020 - about 5 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 | 1386855021 | NPPES |
| Utah | MEDICAID | 1982871828 |
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