Whitbeck, Matthew Gail

Whitbeck, Matthew Gail is an individual health care provider with primary practice located at 4040 Coon Rapids Blvd Nw Ste 120 , Coon Rapids MN 55433-4568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Whitbeck, Matthew Gail can be contacted via phone (763) 427-9980.

Contact Information

Primary practice address
4040 Coon Rapids Blvd Nw Ste 120 Coon Rapids MN 55433-4568
Phone: (763) 427-9980
Fax: (763) 236-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 56452 Minnesota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 56452 Minnesota

Profile Details

NPI number 1932316924
LBN Legal business name Whitbeck, Matthew Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932316924 NPPES
North Dakota MEDICAID 18174

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