Mathew, Jose

Mathew, Jose is an sole proprietor health care provider with primary practice located at 1101 Port Arthur Ter , Leesville LA 71446-4635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mathew, Jose can be contacted via phone (337) 392-2211.

Contact Information

Primary practice address
1101 Port Arthur Ter Leesville LA 71446-4635
Phone: (337) 392-2211
Fax: (337) 392-2210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11538R Louisiana

Profile Details

NPI number 1699744987
LBN Legal business name Mathew, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Jan 23rd, 2014 - about 11 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 1699744987 NPPES
Louisiana Other 11538R STATE LICENSE
Louisiana MEDICAID 1675024 STATE LICENSE
Louisiana Other P00225923 STATE LICENSE

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