Matlen, Jerry A

Matlen, Jerry A is an individual health care provider with primary practice located at 26025 Lahser Rd 2Nd Floor, Southfield MI 48033-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Matlen, Jerry A can be contacted via phone (248) 663-1900.

Contact Information

Primary practice address
26025 Lahser Rd 2Nd Floor Southfield MI 48033-2601
Phone: (248) 663-1900
Fax: (248) 663-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301040826 Michigan

Profile Details

NPI number 1306827688
LBN Legal business name Matlen, Jerry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 12th, 2010 - about 14 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 1306827688 NPPES
Michigan Other 0F31114 BCBS
Michigan Other 0F33583 BCBS
Michigan Other 0767220001 BCBS
Michigan MEDICAID 2751188 BCBS

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