Delores Genevieve Matz in Elk River - Contractor
Delores Genevieve Matz - NPI 1215104211
Delores Genevieve Matz is a Contractor in Elk River, Minnesota. Delores Genevieve Matz practices all healthcare services and medical treatments related to Contractor. The NPI Number for Delores Genevieve Matz is 1215104211. The last update date is 2008-05-09.
Delores Genevieve Matz's current location address is 200 5th St Nw, Elk River, Minnesota. You can contact this provider via phone number 7633001022 and fax number 7636337827. The mailing address for Delores Genevieve Matz is 200 5th St Nw, Elk River, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delores Genevieve Matz |
|---|---|
| Address | 200 5th St Nw, Elk River, Minnesota |
| Phone Number | 7633001022 |
| Fax Number | 7636337827 |
| Sole Proprietor | Y |
| Credentials | LCMT |
NPI Number Detail
| NPI Number | 1215104211 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 200 5th St Nw |
|---|---|
| City | Elk River |
| State | Minnesota (MN) |
| Post Code | 553301917 |
| Phone Number | 7633001022 |
| Fax Number | 7636337827 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | MT 08 - 50 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique identifier code issued to Delores Genevieve Matz by the Centers for Medicare & Medicaid Services?
The Delores Genevieve Matz has been assigned the NPI (National Provider Identifier) 1215104211. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Delores Genevieve Matz's facilities are geographically located?
The facilities of Delores Genevieve Matz are physically situated at the following location: 200 5Th St Nw, Elk River, MN, 553301917.
What is the area of specialization for Delores Genevieve Matz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Delores Genevieve Matz is Contractor, and the corresponding taxonomy code that categorizes this area of expertise is 171W00000X.
On what date did Delores Genevieve Matz receive its 1215104211 assignment from the Centers for Medicare & Medicaid Services?
The Delores Genevieve Matz was assigned its 1215104211 on 2008-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Delores Genevieve Matz most recently updated or refreshed?
The details pertaining to the Delores Genevieve Matz, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-09.
NPI Number: 1477582294
Address: 5480 Wisconsin Ave Ste 204, Chevy Chase, MD