Michael Leroy Matteson in Carbondale - Surgical
Michael Leroy Matteson - NPI 1033386115
Michael Leroy Matteson is a Surgical in Carbondale, Illinois. Michael Leroy Matteson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Michael Leroy Matteson is 1033386115. The last update date is 2011-10-13.
Michael Leroy Matteson's current location address is 305 W Jackson St, Carbondale, Illinois. You can contact this provider via phone number 6185362565 and fax number 6185362835. The mailing address for Michael Leroy Matteson is 305 W Jackson St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Leroy Matteson |
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Address | 305 W Jackson St, Carbondale, Illinois |
Phone Number | 6185362565 |
Fax Number | 6185362835 |
Sole Proprietor | N |
Credentials | PA C |
NPI Number Detail
NPI Number | 1033386115 |
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Provider Enumeration Date | 2008-05-08 |
Last Updated Date | 2011-10-13 |
Provider Mailing Address Detail
Address | 305 W Jackson St |
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City | Carbondale |
State | Illinois (IL) |
Post Code | 629011474 |
Phone Number | 6185362565 |
Fax Number | 6185362835 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 385000710 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique provider identifier assigned to Michael Leroy Matteson?
The Michael Leroy Matteson has been issued the NPI (National Provider Identifier) 1033386115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Michael Leroy Matteson?
The Michael Leroy Matteson is situated at 305 W Jackson St, in the city of Carbondale, state of IL, with the zip code 629011474.
What is Michael Leroy Matteson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Leroy Matteson is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
When did the Michael Leroy Matteson receive its 1033386115?
The Michael Leroy Matteson was issued its 1033386115 on 2008-05-08, which is the date when the organization was assigned this unique identifier.
When was the information regarding Michael Leroy Matteson most recently updated?
The details pertaining to the Michael Leroy Matteson, including its address, specialty, and other relevant information, were last refreshed on 2011-10-13.
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