Walfoort, Matthew Daniel

Walfoort, Matthew Daniel is an sole proprietor health care provider with primary practice located at 1246 University Ave W , Saint Paul MN 55104-4125. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Walfoort, Matthew Daniel can be contacted via phone (651) 204-0226.

Contact Information

Primary practice address
1246 University Ave W Saint Paul MN 55104-4125
Phone: (651) 204-0226
Fax: (651) 383-4537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304592 Minnesota

Profile Details

NPI number 1508460148
LBN Legal business name Walfoort, Matthew Daniel
Credentials BA , LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2020
Last updated Nov 24th, 2020 - about 6 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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