Amstutz, Matthew J
Amstutz, Matthew J is an individual health care provider with primary practice located at 4422 E State Blvd , Fort Wayne IN 46815-6917. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Amstutz, Matthew J can be contacted via phone (260) 471-9263.Contact Information
Primary practice address
4422 E State Blvd
Fort Wayne IN 46815-6917
Phone: (260) 471-9263
Fax: (260) 471-9264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1801262159 |
|---|---|
| LBN Legal business name | Amstutz, Matthew J |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2015 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1801262159 | NPPES |
| Other | 1-15-19203 | BOARD CERTIFICATION |
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