Andrea Jensen Matich in Draper - Sports Medicine
Andrea Jensen Matich - NPI 1902092133
Andrea Jensen Matich is a Sports Medicine in Draper, Utah. Andrea Jensen Matich practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Andrea Jensen Matich is 1902092133. The last update date is 2020-01-20.
Andrea Jensen Matich's current location address is 96 E Kimballs Ln Ste 207, Draper, Utah. You can contact this provider via phone number 8015762300 and fax number 8442491746. The mailing address for Andrea Jensen Matich is 96 E Kimballs Ln Ste 207, Draper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Jensen Matich |
|---|---|
| Address | 96 E Kimballs Ln Ste 207, Draper, Utah |
| Phone Number | 8015762300 |
| Fax Number | 8442491746 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902092133 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2020-01-20 |
Provider Mailing Address Detail
| Address | 96 E Kimballs Ln Ste 207 |
|---|---|
| City | Draper |
| State | Utah (UT) |
| Post Code | 840205021 |
| Phone Number | 8015762300 |
| Fax Number | 8442491746 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 6354383-1205 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1265638357 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea Jensen Matich by the Centers for Medicare & Medicaid Services?
The Andrea Jensen Matich has been assigned the NPI (National Provider Identifier) 1902092133. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Andrea Jensen Matich?
The Andrea Jensen Matich is physically situated at 96 E Kimballs Ln Ste 207, in the city of Draper, state of UT, with the postal code 840205021.
What is Andrea Jensen Matich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrea Jensen Matich is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902092133 to Andrea Jensen Matich?
The Centers for Medicare & Medicaid Services assigned the 1902092133 to Andrea Jensen Matich on 2007-09-21.
When was the information regarding Andrea Jensen Matich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea Jensen Matich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-20.
NPI Number: 1295728244
Address: 6863 Eagle Harbor Dr Ne, Bainbridge Island, WA
NPI Number: 1700861242
Address: 335 S Franklin St, Wilkes Barre, PA