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Matthew Anthony Hettenbach

Nurse Practitioner - Psychiatric/Mental Health

1244 Wisconsin Ave
Racine , Wisconsin 53403-1987

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Matthew Anthony Hettenbach

Nurse Practitioner - Psychiatric/Mental Health

1244 Wisconsin Ave
Racine , Wisconsin 53403-1987

(262) 995-4662

Write a Review Save Call

Matthew Anthony Hettenbach

Nurse Practitioner - Psychiatric/Mental Health

1244 Wisconsin Ave
Racine , Wisconsin 53403-1987

(262) 995-4662 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Psychiatric/Mental Health

Languages spoken

  • English

Location

1244 Wisconsin Ave Racine , Wisconsin 53403-1987

First Address

  • Matthew Anthony Hettenbach
  • 2019 Saint Clair St
  • Racine, WI
  • Zip : 53402-4763
  • Phone : (262) 995-4662

Second Address

  • Matthew Anthony Hettenbach
  • 1244 Wisconsin Ave
  • Racine, WI
  • Zip : 53403-1987
  • Phone : (262) 687-2956

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FAQs


Where did Matthew Anthony Hettenbach attend graduate school?

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Where did Matthew Anthony Hettenbach do his residency?

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Where did Matthew Anthony Hettenbach do his fellowship?

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Is Matthew Anthony Hettenbach board certified?

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What type of doctor is Matthew Anthony Hettenbach

Nurse Practitioner - Psychiatric/Mental Health

In what state does Matthew Anthony Hettenbach practice in?

Wisconsin

Where is Matthew Anthony Hettenbach ’s practice located?

1244 Wisconsin Ave , Racine, Wisconsin, 53403-1987

What is Matthew Anthony Hettenbach ’s gender?

Male

Is Matthew Anthony Hettenbach a sole practitioner?

No

Is Matthew Anthony Hettenbach accepting new patients?

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What languages does Matthew Anthony Hettenbach speak?

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Does Matthew Anthony Hettenbach accept insurance?

Yes, Matthew Anthony Hettenbach accepts insurance

Does Matthew Anthony Hettenbach offers telemedicine?

Matthew Anthony Hettenbach has not indicated if he offers telemedicine

What is Matthew Anthony Hettenbach ’s professional license number?

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What is Matthew Anthony Hettenbach ’s NPI number?

1003430729

Does Matthew Anthony Hettenbach have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LP0808X Nurse Practitioner - Psychiatric/Mental Health 10089 WI

National Provider Identifier

NPI 1003430729
Provider Name Matthew Anthony Hettenbach
First Address Racine, WI 53402-4763
Second Address Racine, WI 53403-1987
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 29/05/2020
Last Update Date 29/05/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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