Robertson, Matthew Eric

Robertson, Matthew Eric is an sole proprietor health care provider with primary practice located at 12611 E 21St St N , Wichita KS 67206-3594. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Robertson, Matthew Eric can be contacted via phone (316) 742-1506.

Contact Information

Primary practice address
12611 E 21St St N Wichita KS 67206-3594
Phone: (316) 742-1506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 21514 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 60512 Kansas

Profile Details

NPI number 1750343802
LBN Legal business name Robertson, Matthew Eric
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated May 15th, 2024 - about last year

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 1750343802 NPPES
Other 12345 NONE

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