Lake, Matthew C.

Lake, Matthew C. is an individual health care provider with primary practice located at 505 1St Ave E , Kalispell MT 59901-4939. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lake, Matthew C. can be contacted via phone (406) 755-1117.

Contact Information

Primary practice address
505 1St Ave E Kalispell MT 59901-4939
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 899 Montana

Profile Details

NPI number 1053538884
LBN Legal business name Lake, Matthew C.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Oct 5th, 2010 - about 16 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 1053538884 NPPES
Montana Other 41483 BLUE CROSS

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