Matthiesen, Ryan
Matthiesen, Ryan is an sole proprietor health care provider with primary practice located at 2301 S Fm 51 Ste 100 , Decatur TX 76234-3864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matthiesen, Ryan can be contacted via phone (940) 626-8810.Contact Information
Primary practice address
2301 S Fm 51 Ste 100
Decatur TX 76234-3864
Phone: (940) 626-8810
Fax: (940) 626-8811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q3232 | Texas |
Profile Details
| NPI number | 1326480732 |
|---|---|
| LBN Legal business name | Matthiesen, Ryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2013 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326480732 | NPPES |
| Texas | Other | 8JK4671 | BCBSTX |
| Texas | MEDICAID | 389087301 | BCBSTX |
| Texas | MEDICAID | 389087302 | BCBSTX |
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