Bishop, Matthew Haley
Bishop, Matthew Haley is an individual health care provider with primary practice located at W173N10915 Bernies Way , Germantown WI 53022-4043. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bishop, Matthew Haley can be contacted via phone (262) 509-3300.Contact Information
Primary practice address
W173N10915 Bernies Way
Germantown WI 53022-4043
Phone: (262) 509-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3055-19 | Wisconsin |
Profile Details
| NPI number | 1205426822 |
|---|---|
| LBN Legal business name | Bishop, Matthew Haley |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2021 |
| Last updated | Jan 19th, 2021 - 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 | 1205426822 | NPPES |
| Wisconsin | MEDICAID | 1154442515 |
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