Matheny, Robert G

Matheny, Robert G is an sole proprietor health care provider with primary practice located at 1739 E Beverly Ave Suite 203, Kingman AZ 86409-3593. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Matheny, Robert G can be contacted via phone (928) 757-3133.

Contact Information

Primary practice address
1739 E Beverly Ave Suite 203 Kingman AZ 86409-3593
Phone: (928) 757-3133
Fax: (928) 757-3136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 32495 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 32495 Arizona

Profile Details

NPI number 1225142557
LBN Legal business name Matheny, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Oct 3rd, 2012 - about 13 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 1225142557 NPPES
Arizona MEDICAID 841602

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