Matheson, John Robert

Matheson, John Robert is an individual health care provider with primary practice located at 888 Swift Blvd , Richland WA 99352-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Matheson, John Robert can be contacted via phone (509) 946-4611.

Contact Information

Primary practice address
888 Swift Blvd Richland WA 99352-3514
Phone: (509) 946-4611
Fax: (509) 942-2757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00041012 Washington

Profile Details

NPI number 1669413258
LBN Legal business name Matheson, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 10th, 2008 - about 16 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 1669413258 NPPES
Washington Other 0184536 LIWA
Washington MEDICAID 8314411 LIWA
Washington Other 4243MA LIWA
Washington Other 0204800 LIWA
Washington Other 3075MA LIWA

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