Botkin, Matthew R
Botkin, Matthew R is an individual health care provider with primary practice located at 6440 Nieman Rd , Shawnee KS 66203-3326. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Botkin, Matthew R can be contacted via phone (913) 962-9955.Contact Information
Primary practice address
6440 Nieman Rd
Shawnee KS 66203-3326
Phone: (913) 962-9955
Fax: (913) 826-1589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 157 | Kansas |
Profile Details
| NPI number | 1003937764 |
|---|---|
| LBN Legal business name | Botkin, Matthew R |
| Credentials | LCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | May 11th, 2010 - about 16 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 | 1003937764 | NPPES |
| Kansas | MEDICAID | 100098010B |
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