Matteucci, John C

Matteucci, John C is an individual health care provider with primary practice located at 6127 Green Bay Road Suite 600, Kenosha WI 53142-2973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Matteucci, John C can be contacted via phone (262) 653-9221.

Contact Information

Primary practice address
6127 Green Bay Road Suite 600 Kenosha WI 53142-2973
Phone: (262) 653-9221
Fax: (262) 653-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01083818A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 38866 Wisconsin

Profile Details

NPI number 1558456749
LBN Legal business name Matteucci, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 15th, 2024 - about 7 months 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 1558456749 NPPES
Indiana MEDICAID 300037445
Indiana MEDICAID 32467300

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