Axtman, Matthew Charles

Axtman, Matthew Charles is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 300, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Axtman, Matthew Charles can be contacted via phone (616) 267-8860.

Contact Information

Primary practice address
4100 Lake Dr Se Ste 300 Grand Rapids MI 49546-8292
Phone: (616) 267-8860
Fax: (616) 267-8442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101019792 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 5101019792 Michigan

Profile Details

NPI number 1255478988
LBN Legal business name Axtman, Matthew Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Mar 10th, 2021 - 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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