Mattis, Henry

Mattis, Henry is an individual health care provider with primary practice located at 340 W Lincoln St , Belleville IL 62220-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mattis, Henry can be contacted via phone (618) 233-6044.

Contact Information

Primary practice address
340 W Lincoln St Belleville IL 62220-1900
Phone: (618) 233-6044
Fax: (618) 233-3297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036061332 Illinois

Profile Details

NPI number 1932139292
LBN Legal business name Mattis, Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 5th, 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 1932139292 NPPES
Other 2507183 SECURE HORIZONS
Other 117064 SECURE HORIZONS
Other 096884 SECURE HORIZONS
Other 16272 SECURE HORIZONS
Other 1413735 SECURE HORIZONS
Other 3709969003 SECURE HORIZONS
Other C41352 SECURE HORIZONS
Other 12475 SECURE HORIZONS
Other 237612 SECURE HORIZONS
MEDICAID 0360613321 SECURE HORIZONS
Other 42932 SECURE HORIZONS
Other 060009692 SECURE HORIZONS

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