Mateyka, Richard Joseph

Mateyka, Richard Joseph is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Ste 100 , Las Vegas NV 89121-3609. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mateyka, Richard Joseph can be contacted via phone (702) 731-1616.

Contact Information

Primary practice address
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 699 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA699 Nevada

Profile Details

NPI number 1912985367
LBN Legal business name Mateyka, Richard Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 15th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912985367 NPPES
Other CC2485 BXBS
Other 970024992 BXBS
MEDICAID 2402056 BXBS
MEDICAID 1912985367 BXBS

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