Matchett, Michael Joseph
Matchett, Michael Joseph is an sole proprietor health care provider with primary practice located at 563 N Main St , Yreka CA 96097-2524. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Matchett, Michael Joseph can be contacted via phone (541) 821-7862.Contact Information
Primary practice address
563 N Main St
Yreka CA 96097-2524
Phone: (541) 821-7862
Fax: (530) 841-1930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | C3358130 | California |
Profile Details
| NPI number | 1023198884 |
|---|---|
| LBN Legal business name | Matchett, Michael Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023198884 | NPPES |
| California | MEDICAID | MTN00497F |
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