Sardelli, Matthew Carl
Sardelli, Matthew Carl is an individual health care provider with primary practice located at 4466 W Bristol Rd , Flint MI 48507-3170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sardelli, Matthew Carl can be contacted via phone (810) 733-1200.Contact Information
Primary practice address
4466 W Bristol Rd
Flint MI 48507-3170
Phone: (810) 733-1200
Fax: (810) 733-0688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 4301084379 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301084379 | Michigan |
Profile Details
| NPI number | 1992992705 |
|---|---|
| LBN Legal business name | Sardelli, Matthew Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Nov 3rd, 2011 - about 14 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 | 1992992705 | NPPES |
| Michigan | Other | 0N45090 | GRP MEDICARE |
| Michigan | MEDICAID | 1992992705 | GRP MEDICARE |
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