Matteson, James P

Matteson, James P is an individual health care provider with primary practice located at 1141 N Monroe Dr , Xenia OH 45385-1619. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Matteson, James P can be contacted via phone (937) 372-8011.

Contact Information

Primary practice address
1141 N Monroe Dr Xenia OH 45385-1619
Phone: (937) 372-8011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50000486 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.000486 Ohio

Profile Details

NPI number 1427048180
LBN Legal business name Matteson, James P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 6th, 2020 - about 5 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 1427048180 NPPES
Ohio MEDICAID 0075462

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