Matthys, Carol

Matthys, Carol is an individual health care provider with primary practice located at 2021 Cenex Dr Suite J, Rice Lake WI 54868-1891. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Matthys, Carol can be contacted via phone (715) 234-7246.

Contact Information

Primary practice address
2021 Cenex Dr Suite J Rice Lake WI 54868-1891
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1944 Wisconsin

Profile Details

NPI number 1295833507
LBN Legal business name Matthys, Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 5th, 2010 - about 14 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 1295833507 NPPES
Wisconsin MEDICAID 43952100

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