Boswell, Matthew

Boswell, Matthew is an individual health care provider with primary practice located at 2266 N Prospect Ave Suite #605, Milwaukee WI 53202-6319. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Boswell, Matthew can be contacted via phone (414) 289-0937.

Contact Information

Primary practice address
2266 N Prospect Ave Suite #605 Milwaukee WI 53202-6319
Phone: (414) 289-0937
Fax: (414) 289-0938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1285887182
LBN Legal business name Boswell, Matthew
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2008
Last updated Oct 23rd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285887182 NPPES
Wisconsin MEDICAID 40977900

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