Brandow, Matthew

Brandow, Matthew is an individual health care provider with primary practice located at 100 Malton St Ste 7, Negaunee MI 49866-2001. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brandow, Matthew can be contacted via phone (906) 475-7422.

Contact Information

Primary practice address
100 Malton St Ste 7 Negaunee MI 49866-2001
Fax: (906) 486-6898
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1601000055 Michigan

Profile Details

NPI number 1912068305
LBN Legal business name Brandow, Matthew
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 28th, 2008 - about 18 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 1912068305 NPPES
Michigan Other P00110878 RRMEDICARE
Michigan Other 540E210323 RRMEDICARE
Michigan MEDICAID 405176011 RRMEDICARE
Michigan MEDICAID 904543700 RRMEDICARE
Michigan Other 640E210300 RRMEDICARE

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