Matheson, Michelle Maria

Matheson, Michelle Maria is an individual health care provider with primary practice located at 30 Harrison St Ste 455 , Johnson City NY 13790-2176. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Matheson, Michelle Maria can be contacted via phone (607) 763-8100.

Contact Information

Primary practice address
30 Harrison St Ste 455 Johnson City NY 13790-2176
Phone: (607) 763-8100
Fax: (607) 763-8048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 012040 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012040 New York

Profile Details

NPI number 1235318833
LBN Legal business name Matheson, Michelle Maria
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235318833 NPPES
New York MEDICAID 03236537

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