Jannett Matusiak in Portland - Specialist

Jannett Matusiak - NPI 1871535146

Jannett Matusiak is a Specialist in Portland, Maine. Jannett Matusiak practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jannett Matusiak is 1871535146. The last update date is 2007-07-08.

Jannett Matusiak's current location address is 222 Saint John St, Portland, Maine. You can contact this provider via phone number 2078717657. The mailing address for Jannett Matusiak is 222 Saint John St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jannett Matusiak
Address 222 Saint John St, Portland, Maine
Phone Number 2078717657
Fax Number
Sole Proprietor X
Credentials MT

NPI Number Detail

NPI Number 1871535146
Provider Enumeration Date 2006-06-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 222 Saint John St
City Portland
State Maine (ME)
Post Code 41023000
Phone Number 2078717657
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MT1529
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
48210 ME BLUE CROSS BLUE SHIELD

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FAQs about Jannett Matusiak

What is the unique 10-digit identification code assigned to Jannett Matusiak by the Centers for Medicare & Medicaid Services?

The Jannett Matusiak has been issued the NPI (National Provider Identifier) 1871535146, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jannett Matusiak is physically located?

The Jannett Matusiak is situated at the following address: 222 Saint John St, Portland, ME 41023000.

What is the Jannett Matusiak's area of specialization and corresponding taxonomy classification?

The Jannett Matusiak's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1871535146 to Jannett Matusiak?

The Centers for Medicare & Medicaid Services assigned the 1871535146 to Jannett Matusiak on 2006-06-12.

When was the information regarding Jannett Matusiak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jannett Matusiak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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