Folstein, Matthew K

Folstein, Matthew K is an sole proprietor health care provider with primary practice located at 611 E Douglas Rd Ste 207 , Mishawaka IN 46545-1465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Folstein, Matthew K can be contacted via phone (574) 335-6850.

Contact Information

Primary practice address
611 E Douglas Rd Ste 207 Mishawaka IN 46545-1465
Phone: (574) 335-6850
Fax: (574) 335-0849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01074919A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01074919 Indiana

Profile Details

NPI number 1952536674
LBN Legal business name Folstein, Matthew K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2009
Last updated Aug 14th, 2023 - about 3 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 1952536674 NPPES
Indiana MEDICAID 201308490

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