Mattingly, Michael John
Mattingly, Michael John is an sole proprietor health care provider with primary practice located at 1000 Harrington Blvd , Mt Clemens MI 48043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mattingly, Michael John can be contacted via phone (586) 493-8000.Contact Information
Primary practice address
1000 Harrington Blvd
Mt Clemens MI 48043
Phone: (586) 493-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101013572 | Michigan |
Profile Details
| NPI number | 1588607964 |
|---|---|
| LBN Legal business name | Mattingly, Michael John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 16th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588607964 | NPPES |
| Other | MM013572 | BCBS |
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