Matis, Richard E
Matis, Richard E is an individual health care provider with primary practice located at 4809 Ambassador Caffery Pkwy Suite 200, Lafayette LA 70508-6917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matis, Richard E can be contacted via phone (337) 988-8811.Contact Information
Primary practice address
4809 Ambassador Caffery Pkwy Suite 200
Lafayette LA 70508-6917
Phone: (337) 988-8811
Fax: (337) 988-8844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 013821 | Louisiana |
Profile Details
NPI number | 1740287481 |
---|---|
LBN Legal business name | Matis, Richard E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Aug 6th, 2012 - about 13 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 | 1740287481 | NPPES |
Louisiana | MEDICAID | 1194271 | |
Louisiana | Other | 080056423 |
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