Matkovic, Christopher Martin

Matkovic, Christopher Martin is an individual health care provider with primary practice located at 593 Eddy St Main Bldg., Room 038, Providence RI 02903-4923. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Matkovic, Christopher Martin can be contacted via phone (401) 444-4779.

Contact Information

Primary practice address
593 Eddy St Main Bldg., Room 038 Providence RI 02903-4923
Phone: (401) 444-4779
Fax: (401) 444-7464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD12658 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD12658 Rhode Island
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X MD12658 Rhode Island

Profile Details

NPI number 1699933382
LBN Legal business name Matkovic, Christopher Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Feb 6th, 2013 - about 13 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 1699933382 NPPES
Rhode Island Other MD12658 RI STATE LICENSE

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