Wideroff, Matthew Julian

Wideroff, Matthew Julian is an individual health care provider with primary practice located at 2805 5Th St , Rapid City SD 57701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wideroff, Matthew Julian can be contacted via phone (605) 755-5700.

Contact Information

Primary practice address
2805 5Th St Rapid City SD 57701
Phone: (605) 755-5700
Fax: (605) 755-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9934 South Dakota

Profile Details

NPI number 1134448129
LBN Legal business name Wideroff, Matthew Julian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2010
Last updated Aug 16th, 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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