Wrathall, Matt

Wrathall, Matt is an sole proprietor health care provider with primary practice located at 3672 E Menan Lorenzo Hwy , Menan ID 83434-5204. He recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as his primary health care specialty. Wrathall, Matt can be contacted via phone (208) 220-6344.

Contact Information

Primary practice address
3672 E Menan Lorenzo Hwy Menan ID 83434-5204
Phone: (208) 220-6344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X Arizona

Profile Details

NPI number 1205612405
LBN Legal business name Wrathall, Matt
Credentials Certified Midwife (CM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2023
Last updated Jan 14th, 2024 - about 11 months 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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