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
Fax: (801) 743-4765
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386855021 NPPES
Utah MEDICAID 1982871828

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