Mattison, Richard E
Mattison, Richard E is an individual health care provider with primary practice located at 22 Northeast Dr , Hershey PA 17033-2732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mattison, Richard E can be contacted via phone (717) 531-8338.Contact Information
Primary practice address
22 Northeast Dr
Hershey PA 17033-2732
Phone: (717) 531-8338
Fax: (717) 531-6250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD024351E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 118940 | New York |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD024351E | Pennsylvania |
Profile Details
| NPI number | 1801827399 |
|---|---|
| LBN Legal business name | Mattison, Richard E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 13th, 2021 - about 5 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 | 1801827399 | NPPES |
| New York | MEDICAID | 01981222 | |
| New York | MEDICAID | 102840870 |
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