Rydberg, Matthew Kevin

Rydberg, Matthew Kevin is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rydberg, Matthew Kevin can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 West Hospital Drive Whiteriver AZ 85941
Phone: (928) 338-4911
Fax: (928) 338-1122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26042 Arizona

Profile Details

NPI number 1649285446
LBN Legal business name Rydberg, Matthew Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649285446 NPPES
Arizona MEDICAID 1629236716
Arizona MEDICAID 1871523191
Arizona MEDICAID 745135
Arizona MEDICAID 1295993376
Arizona MEDICAID 1780614008

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