Matoesian, Phillip

Matoesian, Phillip is an individual health care provider with primary practice located at 2001 Madison Ave , Granite City IL 62040-4618. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Matoesian, Phillip can be contacted via phone (618) 876-5095.

Contact Information

Primary practice address
2001 Madison Ave Granite City IL 62040-4618
Phone: (618) 876-5095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.291512 Illinois

Profile Details

NPI number 1023387719
LBN Legal business name Matoesian, Phillip
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2011
Last updated Dec 24th, 2011 - 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.

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