Kiczek, Matthew Paul
Kiczek, Matthew Paul is an sole proprietor health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kiczek, Matthew Paul can be contacted via phone (410) 955-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | H87203 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | H87203 | Maryland |
Profile Details
| NPI number | 1467794446 |
|---|---|
| LBN Legal business name | Kiczek, Matthew Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2013 |
| Last updated | Jul 24th, 2019 - about 7 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 | 1467794446 | NPPES |
| Maryland | Other | H87203 | LICENSE |
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