Windham, Matt
Windham, Matt is an sole proprietor health care provider with primary practice located at 2056 E 71St St , Chicago IL 60649-2117. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Windham, Matt can be contacted via phone (773) 288-2844.Contact Information
Primary practice address
2056 E 71St St
Chicago IL 60649-2117
Phone: (773) 288-2844
Fax: (773) 288-2848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1790886398 |
|---|---|
| LBN Legal business name | Windham, Matt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 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 | 1790886398 | NPPES |
| Illinois | Other | V797P-4898A | NATIONAL ACQUISTION VA |
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