Hettenbach, Matthew Anthony

Hettenbach, Matthew Anthony is an sole proprietor health care provider with primary practice located at 1244 Wisconsin Ave , Racine WI 53403-1987. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Hettenbach, Matthew Anthony can be contacted via phone (262) 687-2956.

Contact Information

Primary practice address
1244 Wisconsin Ave Racine WI 53403-1987
Phone: (262) 687-2956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10089 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10089 Wisconsin

Profile Details

NPI number 1003430729
LBN Legal business name Hettenbach, Matthew Anthony
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2020
Last updated Sep 24th, 2026 - about last month

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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