Herbst, Mathew Patrick
Herbst, Mathew Patrick is an individual health care provider with primary practice located at 1300 S Century Ave , Waunakee WI 53597. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Herbst, Mathew Patrick can be contacted via phone (608) 849-4315.Contact Information
Primary practice address
1300 S Century Ave
Waunakee WI 53597
Phone: (608) 849-4315
Fax: (608) 850-1606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66597-20 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10762-024 | Wisconsin |
Profile Details
| NPI number | 1811020969 |
|---|---|
| LBN Legal business name | Herbst, Mathew Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811020969 | NPPES |
| Wisconsin | MEDICAID | 1811020969 |
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