Mattison, Herbert Reid

Mattison, Herbert Reid is an individual health care provider with primary practice located at 1633 N Capitol Ave. Suite 750, Indianapolis IN 46202-1270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mattison, Herbert Reid can be contacted via phone (317) 962-0953.

Contact Information

Primary practice address
1633 N Capitol Ave. Suite 750 Indianapolis IN 46202-1270
Fax: (317) 962-2455
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01039266A Indiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01039266A Indiana

Profile Details

NPI number 1043250939
LBN Legal business name Mattison, Herbert Reid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 20th, 2022 - about 2 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 1043250939 NPPES
Indiana MEDICAID 100102960

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