Frericks, Matthew Edward

Frericks, Matthew Edward is an individual health care provider with primary practice located at 710 Commerce Dr , Woodbury MN 55125-4919. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Frericks, Matthew Edward can be contacted via phone (651) 968-5000.

Contact Information

Primary practice address
710 Commerce Dr Woodbury MN 55125-4919
Phone: (651) 968-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 19-0604 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2556 Minnesota

Profile Details

NPI number 1659704492
LBN Legal business name Frericks, Matthew Edward
Credentials ATC, OTC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2013
Last updated Feb 7th, 2020 - about 5 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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