Matisoff, David N

Matisoff, David N is an individual health care provider with primary practice located at 3960 Patient Care Dr Suite 113, Lansing MI 48911-4275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Matisoff, David N can be contacted via phone (517) 484-0004.

Contact Information

Primary practice address
3960 Patient Care Dr Suite 113 Lansing MI 48911-4275
Phone: (517) 484-0004
Fax: (517) 484-7241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X DM040001 Michigan
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 4301040001 Michigan

Profile Details

NPI number 1649263633
LBN Legal business name Matisoff, David N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 29th, 2016 - about 8 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 1649263633 NPPES
Michigan Other 350C31064 BLUE CROSS BLUE SHIELD
Michigan Other 7500132 BLUE CROSS BLUE SHIELD
Michigan MEDICAID L3338302 BLUE CROSS BLUE SHIELD
Michigan Other 40155 BLUE CROSS BLUE SHIELD

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