Matheson, Stephen R
Matheson, Stephen R is an individual health care provider with primary practice located at 5000 W Clearwater Ave , Kennewick WA 99336. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Assistant. Dental Providers / Dentist is his primary health care specialty. Matheson, Stephen R can be contacted via phone (509) 783-5000.Contact Information
Primary practice address
5000 W Clearwater Ave
Kennewick WA 99336
Phone: (509) 783-5000
Fax: (509) 783-8349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00004645 | Washington |
| Dental Providers / Dental Assistant | 126800000X | DE00008483 | Washington |
| Dental Providers / Dental Assistant | 126800000X | DE00010578 | Washington |
Profile Details
| NPI number | 1538238779 |
|---|---|
| LBN Legal business name | Matheson, Stephen R |
| Credentials | DDS PS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1538238779 | NPPES |
| Other | 4645 | WDS | |
| Other | 408285 | WDS | |
| MEDICAID | 5510003 | WDS |
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