Matthew, Chelsea
Matthew, Chelsea is an sole proprietor health care provider with primary practice located at 1700 Fulton Rd , Santa Rosa CA 95403-1899. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Matthew, Chelsea can be contacted via phone (707) 890-3840.Contact Information
Primary practice address
1700 Fulton Rd
Santa Rosa CA 95403-1899
Phone: (707) 890-3840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1305-39 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1477860146 |
|---|---|
| LBN Legal business name | Matthew, Chelsea |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2010 |
| Last updated | Mar 22nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477860146 | NPPES |
| Wisconsin | Other | 1305-39 | STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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