Mcdonald, Matthew John
Mcdonald, Matthew John is an individual health care provider with primary practice located at 1336 Creston Park Dr , Janesville WI 53545-1119. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mcdonald, Matthew John can be contacted via phone (608) 755-1082.Contact Information
Primary practice address
1336 Creston Park Dr
Janesville WI 53545-1119
Phone: (608) 755-1082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1001311-15 | Wisconsin |
Profile Details
| NPI number | 1235592734 |
|---|---|
| LBN Legal business name | Mcdonald, Matthew John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2016 |
| Last updated | Jun 2nd, 2016 - about 10 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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