Threlkeld, Mateen

Threlkeld, Mateen is an sole proprietor health care provider with primary practice located at 1265 W Huron St Ste 101 , Waterford MI 48328-3677. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Threlkeld, Mateen can be contacted via phone (248) 977-4594.

Contact Information

Primary practice address
1265 W Huron St Ste 101 Waterford MI 48328-3677
Phone: (248) 977-4594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1083191399
LBN Legal business name Threlkeld, Mateen
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2018
Last updated Jul 19th, 2018 - about 8 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 1083191399 NPPES
Other PL1743888 LIABILITY INSURANCE

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