Krolikowski, Matthew Ryan

Krolikowski, Matthew Ryan is an sole proprietor health care provider with primary practice located at 4 Sheridan Sq Ste 200 , Kingsport TN 37660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Krolikowski, Matthew Ryan can be contacted via phone (423) 246-7931.

Contact Information

Primary practice address
4 Sheridan Sq Ste 200 Kingsport TN 37660
Fax: (423) 246-1906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 3069 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102204541 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3069 Tennessee

Profile Details

NPI number 1215372578
LBN Legal business name Krolikowski, Matthew Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2013
Last updated Jan 18th, 2024 - about 2 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 1215372578 NPPES
Virginia MEDICAID 1215372578
Virginia MEDICAID Q025295

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