Dowling, Matthew Ronald

Dowling, Matthew Ronald is an sole proprietor health care provider with primary practice located at 5100 Eden Ave Ste. 108, Edina MN 55436. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Dowling, Matthew Ronald can be contacted via phone (612) 360-3843.

Contact Information

Primary practice address
5100 Eden Ave Ste. 108 Edina MN 55436
Phone: (612) 360-3843
Fax: (952) 929-4581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14602 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 14602

Profile Details

NPI number 1861472276
LBN Legal business name Dowling, Matthew Ronald
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Apr 20th, 2009 - 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 1861472276 NPPES
Minnesota MEDICAID 1861472276

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