Matthies, Heather Jan

Matthies, Heather Jan is an individual health care provider with primary practice located at 106 Market Place Cir , Georgetown KY 40324-7400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Matthies, Heather Jan can be contacted via phone (502) 868-6737.

Contact Information

Primary practice address
106 Market Place Cir Georgetown KY 40324-7400
Phone: (502) 868-6737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3017695 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9450003 Florida

Profile Details

NPI number 1457794646
LBN Legal business name Matthies, Heather Jan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Nov 1st, 2022 - about 3 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 1457794646 NPPES
Florida MEDICAID 019763300
Florida Other H8TG8

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