Mattio, Thomas Gerard

Mattio, Thomas Gerard is an individual health care provider with primary practice located at 1305 W American Dr , Neenah WI 54956-1993. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mattio, Thomas Gerard can be contacted via phone (920) 725-9373.

Contact Information

Primary practice address
1305 W American Dr Neenah WI 54956-1993
Phone: (920) 725-9373
Fax: (920) 720-7392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34428 Wisconsin

Profile Details

NPI number 1356382535
LBN Legal business name Mattio, Thomas Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 15th, 2012 - about 13 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 1356382535 NPPES
Wisconsin MEDICAID 31956600
Wisconsin Other 130010682

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