Matherne, Paul G
Matherne, Paul G is an individual health care provider with primary practice located at 1924 E Pass Rd , Gulfport MS 39507-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matherne, Paul G can be contacted via phone (228) 388-4862.Contact Information
Primary practice address
1924 E Pass Rd
Gulfport MS 39507-3715
Phone: (228) 388-4862
Fax: (228) 388-2556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 09445 | Mississippi |
Profile Details
| NPI number | 1730245739 |
|---|---|
| LBN Legal business name | Matherne, Paul G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Oct 7th, 2020 - about 4 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 | 1730245739 | NPPES |
| Mississippi | MEDICAID | 000018917 |
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