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Contact Information

MATTHEW T SANTA BARBARA, MD
2799 W GRAND BLVD
DETROIT, MI48202-2608
 Phone: 313-916-2181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW T SANTA BARBARA · (Male)

NPI Number 1306258322
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2014
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301500305
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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