Kindler, Matthew

Kindler, Matthew is an individual health care provider with primary practice located at 6085 Strathmoor Dr Ste 1C , Rockford IL 61107-6636. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kindler, Matthew can be contacted via phone (815) 435-0907.

Contact Information

Primary practice address
6085 Strathmoor Dr Ste 1C Rockford IL 61107-6636
Phone: (815) 435-0907
Fax: (815) 435-5251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9454-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.017004 Illinois

Profile Details

NPI number 1275937203
LBN Legal business name Kindler, Matthew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Aug 8th, 2022 - about 4 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 1275937203 NPPES
Wisconsin MEDICAID 1275937203

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