Mathwig, Frederick A

Mathwig, Frederick A is an individual health care provider with primary practice located at 5409 Everybodys Road Forest County Potawatomi Health & Wellness Center, Crandon WI 54520. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mathwig, Frederick A can be contacted via phone (715) 478-4300.

Contact Information

Primary practice address
5409 Everybodys Road Forest County Potawatomi Health & Wellness Center Crandon WI 54520
Phone: (715) 478-4300
Fax: (715) 478-4490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1406024 Wisconsin

Profile Details

NPI number 1407864382
LBN Legal business name Mathwig, Frederick A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1407864382 NPPES
Wisconsin Other 70738 SECURITY HEALTH PLAN
Wisconsin MEDICAID 40005100 SECURITY HEALTH PLAN

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