Mathisen, Jan E

Mathisen, Jan E is an individual health care provider with primary practice located at 1940 Elmer J Bissell Rd Suite C, Birmingham AL 35243-2941. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Mathisen, Jan E can be contacted via phone (205) 638-5860.

Contact Information

Primary practice address
1940 Elmer J Bissell Rd Suite C Birmingham AL 35243-2941
Phone: (205) 638-5860
Fax: (205) 638-5879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11165 Alabama
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 11165 Alabama

Profile Details

NPI number 1275687766
LBN Legal business name Mathisen, Jan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Mar 21st, 2013 - 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 1275687766 NPPES
Alabama MEDICAID 8804680
Alabama Other 18033

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