Matousek, Jan M

Matousek, Jan M is an individual health care provider with primary practice located at 111 E Wisconsin Ave , Milwaukee WI 53202-4815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Matousek, Jan M can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
111 E Wisconsin Ave Milwaukee WI 53202-4815
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32212-021 Wisconsin
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 32212-21 Wisconsin

Profile Details

NPI number 1407882087
LBN Legal business name Matousek, Jan M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Mar 7th, 2013 - about 11 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 1407882087 NPPES
Wisconsin MEDICAID 30051100
Wisconsin Other 930044468

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