Eugene Mathias is a General Practice in Kenosha, Wisconsin. Eugene Mathias practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eugene Mathias is 1417014143. The last update date is 2007-07-08.
Eugene Mathias's current location address is 3410 80th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626970825 and fax number 2626970116. The mailing address for Eugene Mathias is 3410 80th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Mathias |
|---|---|
| Address | 3410 80th St, Kenosha, Wisconsin |
| Phone Number | 2626970825 |
| Fax Number | 2626970116 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417014143 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3410 80th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531424975 |
| Phone Number | 2626970825 |
| Fax Number | 2626970116 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2658 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Eugene Mathias by the Centers for Medicare & Medicaid Services?
The Eugene Mathias has been assigned the NPI (National Provider Identifier) 1417014143. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eugene Mathias?
The Eugene Mathias is situated at 3410 80Th St, in the city of Kenosha, state of WI, with the zip code 531424975.
What is Eugene Mathias's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eugene Mathias is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417014143 to Eugene Mathias?
The Centers for Medicare & Medicaid Services originally issued the 1417014143 to Eugene Mathias on 2007-01-02.
When was the information regarding Eugene Mathias most recently updated?
The details pertaining to the Eugene Mathias, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.