Mattison, Timothy J
Mattison, Timothy J is an individual health care provider with primary practice located at 5757 Monclova Rd Ste 15, Maumee OH 43537-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mattison, Timothy J can be contacted via phone (419) 887-5833.Contact Information
Primary practice address
5757 Monclova Rd Ste 15
Maumee OH 43537-1863
Phone: (419) 887-5833
Fax: (419) 887-5835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35070695 | Ohio |
Profile Details
| NPI number | 1578561445 |
|---|---|
| LBN Legal business name | Mattison, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jan 7th, 2013 - about 11 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 | 1578561445 | NPPES |
| Ohio | Other | 000000344553 | ANTHEM |
| Ohio | MEDICAID | 2291407 | ANTHEM |
| Ohio | Other | P00138896 | ANTHEM |
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