Matthiessen, Patrick M

Matthiessen, Patrick M is an sole proprietor health care provider with primary practice located at 1009 New Moody Ln , La Grange KY 40031-9142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Matthiessen, Patrick M can be contacted via phone (502) 222-8503.

Contact Information

Primary practice address
1009 New Moody Ln La Grange KY 40031-9142
Phone: (502) 222-8503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01074910A Indiana

Profile Details

NPI number 1306833124
LBN Legal business name Matthiessen, Patrick M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Dec 12th, 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 1306833124 NPPES
Indiana Other 915174 ANTHEM
Indiana Other 50084197 ANTHEM
Indiana MEDICAID 7100347060 ANTHEM
Indiana MEDICAID 201274940 ANTHEM
Indiana Other 7494410 ANTHEM

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