Matias, Reinaldo

Matias, Reinaldo is an individual health care provider with primary practice located at 203 W Franciscan Dr , Crown Point IN 46307-4802. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Matias, Reinaldo can be contacted via phone (219) 661-5100.

Contact Information

Primary practice address
203 W Franciscan Dr Crown Point IN 46307-4802
Phone: (219) 661-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041114A Indiana

Profile Details

NPI number 1801830641
LBN Legal business name Matias, Reinaldo
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 8th, 2013 - about 12 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 1801830641 NPPES
Indiana Other 000000235667 ANTHEM
Indiana MEDICAID 200105900B ANTHEM
Indiana Other 680012369 ANTHEM

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