Henry Mattis in Belleville - Cardiovascular Disease

Henry Mattis - NPI 1932139292

Henry Mattis is a Cardiovascular Disease in Belleville, Illinois. Henry Mattis practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Henry Mattis is 1932139292. The last update date is 2012-07-05.

Henry Mattis's current location address is 340 W Lincoln St, Belleville, Illinois. You can contact this provider via phone number 6182336044 and fax number 6182333297. The mailing address for Henry Mattis is 340 W Lincoln St, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry Mattis
Address 340 W Lincoln St, Belleville, Illinois
Phone Number 6182336044
Fax Number 6182333297
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1932139292
Provider Enumeration Date 2006-07-03
Last Updated Date 2012-07-05

Provider Mailing Address Detail

Address 340 W Lincoln St
City Belleville
State Illinois (IL)
Post Code 622201900
Phone Number 6182336044
Fax Number 6182333297

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 36061332
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2507183 SECURE HORIZONS
117064 HEALTHLINK
96884 HEALTH ALLIANCE
16272 MO BCBS MO
1413735 UHC
3709969003 GHP
C41352 MERCY
12475 ESSENCE
237612 WELLCARE
360613321 IL --

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FAQs about Henry Mattis

What is the unique 10-digit identification code issued to Henry Mattis by the Centers for Medicare & Medicaid Services?

The Henry Mattis has been assigned the NPI (National Provider Identifier) 1932139292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Henry Mattis's physical address?

The Henry Mattis is physically located at 340 W Lincoln St, in the city of Belleville, IL, with the postal code 622201900.

What is Henry Mattis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Henry Mattis's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.

When did Henry Mattis receive its 1932139292 assignment?

The Henry Mattis was assigned its 1932139292 on 2006-07-03, which is the date when this unique identifier was issued to the organization.

When was the information related to Henry Mattis most recently updated or refreshed?

The details pertaining to the Henry Mattis, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-05.

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