Riedi, Matthew J
Riedi, Matthew J is an sole proprietor health care provider with primary practice located at 111 S Madison St , Green Bay WI 54301-4501. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Riedi, Matthew J can be contacted via phone (920) 432-7986.Contact Information
Primary practice address
111 S Madison St
Green Bay WI 54301-4501
Phone: (920) 432-7986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147-156 | Wisconsin |
Profile Details
| NPI number | 1407029481 |
|---|---|
| LBN Legal business name | Riedi, Matthew J |
| Credentials | MS CCCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Apr 10th, 2008 - about 18 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 | 1407029481 | NPPES |
| Wisconsin | MEDICAID | 41119400 |
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