Kaufenberg, Matthew Stuart

Kaufenberg, Matthew Stuart is an individual health care provider with primary practice located at 1835 County Road C W , Roseville MN 55113-1352. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kaufenberg, Matthew Stuart can be contacted via phone (651) 638-0080.

Contact Information

Primary practice address
1835 County Road C W Roseville MN 55113-1352
Phone: (651) 638-0080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6426 Minnesota

Profile Details

NPI number 1366533861
LBN Legal business name Kaufenberg, Matthew Stuart
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 30th, 2010 - about 15 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 1366533861 NPPES
Minnesota MEDICAID 60845900

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