Matthew J Riedi is a Audiologist in Green Bay, Wisconsin. Matthew J Riedi practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Matthew J Riedi is 1407029481. The last update date is 2008-04-10.
Matthew J Riedi's current location address is 111 S Madison St, Green Bay, Wisconsin. You can contact this provider via phone number 9204327986. The mailing address for Matthew J Riedi is 111 S Madison St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J Riedi |
|---|---|
| Address | 111 S Madison St, Green Bay, Wisconsin |
| Phone Number | 9204327986 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS CCCA |
NPI Number Detail
| NPI Number | 1407029481 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2008-04-10 |
Provider Mailing Address Detail
| Address | 111 S Madison St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543014501 |
| Phone Number | 9204327986 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 147-156 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41119400 | WI | -- |
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What is the unique 10-digit identifier code issued to Matthew J Riedi by the Centers for Medicare & Medicaid Services?
The Matthew J Riedi has been assigned the NPI (National Provider Identifier) 1407029481 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Matthew J Riedi?
The Matthew J Riedi is physically situated at 111 S Madison St, in the city of Green Bay, state of WI, with the postal code 543014501.
What is Matthew J Riedi's area of expertise and its corresponding taxonomy classification?
The Matthew J Riedi's field of specialization is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Matthew J Riedi receive its 1407029481 assignment from the Centers for Medicare & Medicaid Services?
The Matthew J Riedi was assigned its 1407029481 by the Centers for Medicare & Medicaid Services on 2008-04-10.
As of what date were the Matthew J Riedi's details last updated?
The information pertaining to the Matthew J Riedi, including its address, specialty, and other details, was most recently updated on 2008-04-10.