Julie A Matyasic in East Lansing - Physician Assistant

Julie A Matyasic - NPI 1437203130

Julie A Matyasic is a Physician Assistant in East Lansing, Michigan. Julie A Matyasic practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Julie A Matyasic is 1437203130. The last update date is 2013-11-05.

Julie A Matyasic's current location address is 463 E Circle Dr, East Lansing, Michigan. You can contact this provider via phone number 5178846546 and fax number 5164329460. The mailing address for Julie A Matyasic is 463 E Circle Dr, East Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie A Matyasic
Address 463 E Circle Dr, East Lansing, Michigan
Phone Number 5178846546
Fax Number 5164329460
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1437203130
Provider Enumeration Date 2007-01-22
Last Updated Date 2013-11-05

Provider Mailing Address Detail

Address 463 E Circle Dr
City East Lansing
State Michigan (MI)
Post Code 48824
Phone Number 5178846546
Fax Number 5164329460

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601002675
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1437203130 MI --

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FAQs about Julie A Matyasic

What is the unique 10-digit identifier code issued to Julie A Matyasic by the Centers for Medicare & Medicaid Services?

The Julie A Matyasic has been assigned the NPI (National Provider Identifier) 1437203130 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Julie A Matyasic's facilities are geographically located?

The facilities of Julie A Matyasic are physically situated at the following location: 463 E Circle Dr, East Lansing, MI, 48824.

What is Julie A Matyasic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Julie A Matyasic is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When was the Julie A Matyasic's 1437203130 issued?

The Julie A Matyasic's 1437203130 was issued on 2007-01-22.

As of what date were the details related to Julie A Matyasic most recently updated or revised?

The information pertaining to Julie A Matyasic, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-05.

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