Matteson, Milton Allen

Matteson, Milton Allen is an individual health care provider with primary practice located at 465 Saint Michaels Dr Suite 110, Santa Fe NM 87505-7670. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Matteson, Milton Allen can be contacted via phone (505) 982-3534.

Contact Information

Primary practice address
465 Saint Michaels Dr Suite 110 Santa Fe NM 87505-7670
Phone: (505) 982-3534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2003-0039 New Mexico

Profile Details

NPI number 1811980279
LBN Legal business name Matteson, Milton Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated May 25th, 2016 - about 8 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 1811980279 NPPES
New Mexico MEDICAID 34172866

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