Mathews, Gary L.

Mathews, Gary L. is an individual health care provider with primary practice located at 935 Camellia Blvd Ste 100, Lafayette LA 70508-6961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mathews, Gary L. can be contacted via phone (337) 504-5000.

Contact Information

Primary practice address
935 Camellia Blvd Ste 100 Lafayette LA 70508-6961
Fax: (337) 504-5646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 019449 Louisiana

Profile Details

NPI number 1598752875
LBN Legal business name Mathews, Gary L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 11th, 2020 - about 4 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 1598752875 NPPES
Louisiana Other 990005847 RAILROAD MEDICARE
Louisiana MEDICAID 1390763 RAILROAD MEDICARE

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