Mathewson, James Wallace

Mathewson, James Wallace is an individual health care provider with primary practice located at 1330 N Rim Dr Suite A, Flagstaff AZ 86001-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mathewson, James Wallace can be contacted via phone (928) 779-7014.

Contact Information

Primary practice address
1330 N Rim Dr Suite A Flagstaff AZ 86001-3134
Phone: (928) 779-7014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G29338 California
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X G29338 California

Profile Details

NPI number 1043381809
LBN Legal business name Mathewson, James Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043381809 NPPES
California MEDICAID 00G293380

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