Jack E Matteson in Jefferson City - Psychiatry

Jack E Matteson - NPI 1326218413

Jack E Matteson is a Psychiatry in Jefferson City, Missouri. Jack E Matteson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jack E Matteson is 1326218413. The last update date is 2010-12-15.

Jack E Matteson's current location address is 1026 Northeast Dr, Jefferson City, Missouri. You can contact this provider via phone number 5736353850 and fax number 5736351558. The mailing address for Jack E Matteson is 1026 Northeast Dr, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack E Matteson
Address 1026 Northeast Dr, Jefferson City, Missouri
Phone Number 5736353850
Fax Number 5736351558
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1326218413
Provider Enumeration Date 2008-03-05
Last Updated Date 2010-12-15

Provider Mailing Address Detail

Address 1026 Northeast Dr
City Jefferson City
State Missouri (MO)
Post Code 651092517
Phone Number 5736353850
Fax Number 5736351558

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 2007037859
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Jack E Matteson

What is the unique identifier code issued to Jack E Matteson by the Centers for Medicare & Medicaid Services (CMS)?

The Jack E Matteson has been assigned the NPI (National Provider Identifier) 1326218413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jack E Matteson is located?

The Jack E Matteson is situated at the following address: 1026 Northeast Dr, Jefferson City, MO, 651092517.

What is the Jack E Matteson's specialty and taxonomy code?

The Jack E Matteson's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date was the 1326218413 assigned to Jack E Matteson?

The Jack E Matteson was issued its 1326218413 on 2008-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Jack E Matteson's information last updated?

The Jack E Matteson's information was last updated on 2010-12-15.

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