Mattingly, Thomas Paul

Mattingly, Thomas Paul is an sole proprietor health care provider with primary practice located at 1410 Union St , Lafayette IN 47904-2060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mattingly, Thomas Paul can be contacted via phone (765) 423-2977.

Contact Information

Primary practice address
1410 Union St Lafayette IN 47904-2060
Phone: (765) 423-2977
Fax: (765) 423-1149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01026310A Indiana

Profile Details

NPI number 1043298292
LBN Legal business name Mattingly, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2006
Last updated Jun 11th, 2012 - about 12 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 1043298292 NPPES
Indiana Other 351654025 BANKERS LIFE
Indiana Other B29527 BANKERS LIFE
Indiana Other 351654025 BANKERS LIFE
Indiana Other 000000086144 BANKERS LIFE
Indiana Other 351654025 BANKERS LIFE
Indiana Other 35-1654025 BANKERS LIFE
Indiana Other 351654025 47904 002 BANKERS LIFE
Indiana Other 351654025 BANKERS LIFE

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