Jack E Matteson in Jefferson City - Child & Adolescent Psychiatry
Jack E Matteson - NPI 1326218413
Jack E Matteson is a Child & Adolescent Psychiatry in Jefferson City, Missouri. Jack E Matteson practices all healthcare services and medical treatments related to Child & Adolescent 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 | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 2007037859 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
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 Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
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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