Matteucci, Michael John

Matteucci, Michael John is an sole proprietor health care provider with primary practice located at Nas Jacksonville, Building 554 Bureau Of Medicine And Surgery Detachment, Jacksonville FL 32212-0140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Matteucci, Michael John can be contacted via phone (877) 722-4373.

Contact Information

Primary practice address
Nas Jacksonville, Building 554 Bureau Of Medicine And Surgery Detachment Jacksonville FL 32212-0140
Phone: (877) 722-4373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A64549 California
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X A64549 California

Profile Details

NPI number 1265403406
LBN Legal business name Matteucci, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Oct 21st, 2015 - about 9 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 1265403406 NPPES
California MEDICAID 00A645490

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