Mathews, Therese L
Mathews, Therese L is an individual health care provider with primary practice located at 985459 Nebraska Medical Ctr , Omaha NE 68198-5459. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mathews, Therese L can be contacted via phone (402) 559-8643.Contact Information
Primary practice address
985459 Nebraska Medical Ctr
Omaha NE 68198-5459
Phone: (402) 559-8643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 316 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 105079 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 105079 | Nebraska |
Profile Details
| NPI number | 1407044134 |
|---|---|
| LBN Legal business name | Mathews, Therese L |
| Credentials | PLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Nov 20th, 2008 - about 18 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 | 1407044134 | NPPES |
| Nebraska | MEDICAID | 10025287200 | |
| Nebraska | MEDICAID | 470855757 |
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