Mattheis, Jay Kenneth

Mattheis, Jay Kenneth is an individual health care provider with primary practice located at 11370 Anderson St Ste 1800 , Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mattheis, Jay Kenneth can be contacted via phone (909) 558-2154.

Contact Information

Primary practice address
11370 Anderson St Ste 1800 Loma Linda CA 92354-3450
Phone: (909) 558-2154
Fax: (909) 558-2180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME56477 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14270 Nevada
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G66270 California

Profile Details

NPI number 1154311058
LBN Legal business name Mattheis, Jay Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 17th, 2023 - about last year

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 1154311058 NPPES
Nevada MEDICAID 100527518
Nevada Other P01074697
Nevada Other 1801843685

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