Matherne, Ryan Joseph
Matherne, Ryan Joseph is an individual health care provider with primary practice located at 416 Highway 308 , Thibodaux LA 70301-5752. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Matherne, Ryan Joseph can be contacted via phone (985) 446-5888.Contact Information
Primary practice address
416 Highway 308
Thibodaux LA 70301-5752
Phone: (985) 446-5888
Fax: (985) 446-5880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | N3169 | Texas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD.202680 | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | N3169 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD.202680 | Louisiana |
Profile Details
| NPI number | 1528259710 |
|---|---|
| LBN Legal business name | Matherne, Ryan Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Nov 30th, 2022 - about 2 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 | 1528259710 | NPPES |
| Louisiana | Other | 5C904 | MEDICARE GROUP PIN |
| Louisiana | MEDICAID | 1500615 | MEDICARE GROUP PIN |
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