Mattern, James C

Mattern, James C is an sole proprietor health care provider with primary practice located at 1231 Cumberland Ave #D , West Lafayette IN 47906-1358. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mattern, James C can be contacted via phone (765) 463-7337.

Contact Information

Primary practice address
1231 Cumberland Ave #D West Lafayette IN 47906-1358
Phone: (765) 463-7337
Fax: (765) 497-4393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001204A Indiana

Profile Details

NPI number 1568648830
LBN Legal business name Mattern, James C
Credentials DC, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 2008 - about 17 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 1568648830 NPPES
Indiana MEDICAID 100232700A
Indiana Other 352009282001
Indiana Other 352009282100
Indiana Other 08001204A
Indiana Other 350048296
Indiana Other 000000092081
Indiana Other 00630

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