Kridel, Matthew Michael
Kridel, Matthew Michael is an individual health care provider with primary practice located at 997 Saint Sebastian Way , Augusta GA 30912-2613. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is his primary health care specialty. Kridel, Matthew Michael can be contacted via phone (706) 721-6719.Contact Information
Primary practice address
997 Saint Sebastian Way
Augusta GA 30912-2613
Phone: (706) 721-6719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Health | 103TH0004X | PSY004537 | Georgia |
Profile Details
| NPI number | 1588221808 |
|---|---|
| LBN Legal business name | Kridel, Matthew Michael |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2019 |
| Last updated | Sep 22nd, 2021 - 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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