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:
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Health care specialties

SpecialtyCodeLicense #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 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 1740287481 NPPES
Louisiana MEDICAID 1194271
Louisiana Other 080056423

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