Matzoll, John David
Matzoll, John David is an sole proprietor health care provider with primary practice located at 1350 Gardena Ave Ne , Fridley MN 55432-5830. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Matzoll, John David can be contacted via phone (763) 571-9116.Contact Information
Primary practice address
1350 Gardena Ave Ne
Fridley MN 55432-5830
Phone: (763) 571-9116
Fax: (763) 571-9118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1204 | Minnesota |
Profile Details
| NPI number | 1609908870 |
|---|---|
| LBN Legal business name | Matzoll, John David |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| 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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