Mateo, Marie Elizabeth
Mateo, Marie Elizabeth is an individual health care provider with primary practice located at 500 Kirts Blvd Ste 200 , Troy MI 48084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mateo, Marie Elizabeth can be contacted via phone (248) 824-6060.Contact Information
Primary practice address
500 Kirts Blvd Ste 200
Troy MI 48084
Phone: (248) 824-6060
Fax: (248) 686-0772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 222940 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301082659 | Michigan |
Profile Details
| NPI number | 1558327023 |
|---|---|
| LBN Legal business name | Mateo, Marie Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Oct 14th, 2021 - about 5 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 | 1558327023 | NPPES |
| New York | MEDICAID | 02351068 |
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