Stephen Paul Mattingly in Elizabethtown - Technician

Stephen Paul Mattingly - NPI 1114060902

Stephen Paul Mattingly is a Technician in Elizabethtown, Kentucky. Stephen Paul Mattingly practices all healthcare services and medical treatments related to Technician. The NPI Number for Stephen Paul Mattingly is 1114060902. The last update date is 2007-07-08.

Stephen Paul Mattingly's current location address is 107 Cranes Roost Ct, Elizabethtown, Kentucky. You can contact this provider via phone number 2707652605 and fax number 2702348572. The mailing address for Stephen Paul Mattingly is 107 Cranes Roost Ct, Elizabethtown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Paul Mattingly
Address 107 Cranes Roost Ct, Elizabethtown, Kentucky
Phone Number 2707652605
Fax Number 2702348572
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1114060902
Provider Enumeration Date 2007-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 107 Cranes Roost Ct
City Elizabethtown
State Kentucky (KY)
Post Code 427013650
Phone Number 2707652605
Fax Number 2702348572

Provider's Primary Taxonomy Detail

Speciality Technician
Taxonomy 374700000X
Definition:
(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30605018 KY --

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FAQs about Stephen Paul Mattingly

What is the unique identifier code issued to Stephen Paul Mattingly by the Centers for Medicare & Medicaid Services (CMS)?

The Stephen Paul Mattingly has been assigned the NPI (National Provider Identifier) 1114060902. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Stephen Paul Mattingly's facilities are geographically located?

The facilities of Stephen Paul Mattingly are physically situated at the following location: 107 Cranes Roost Ct, Elizabethtown, KY, 427013650.

What is the Stephen Paul Mattingly's area of specialization and corresponding taxonomy classification?

The Stephen Paul Mattingly's specialty field is Technician, and it falls under the taxonomy code 374700000X, which categorizes healthcare providers based on their specialties.

When did the Stephen Paul Mattingly receive its 1114060902?

The Stephen Paul Mattingly was issued its 1114060902 on 2007-02-14, which is the date when the organization was assigned this unique identifier.

When was the information regarding Stephen Paul Mattingly most recently updated?

The details pertaining to the Stephen Paul Mattingly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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