Mathieu, Michael E

Mathieu, Michael E is an individual health care provider with primary practice located at 1514 Amherst St , Winchester VA 22601-2803. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mathieu, Michael E can be contacted via phone (540) 667-4499.

Contact Information

Primary practice address
1514 Amherst St Winchester VA 22601-2803
Fax: (540) 722-4172
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101057472 Virginia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 0101057472 Virginia
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 0101057472 Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20687 West Virginia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 20687 West Virginia
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 20687 West Virginia

Profile Details

NPI number 1215908223
LBN Legal business name Mathieu, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated May 21st, 2008 - about 16 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 1215908223 NPPES
Virginia MEDICAID 005902002
Virginia Other 001717411
Virginia Other 452904
Virginia MEDICAID 1000519000

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