Mattox, Paul C

Mattox, Paul C is an individual health care provider with primary practice located at 500 S Liberty Dr Ste 482 , Bloomington IN 47403-1924. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Mattox, Paul C can be contacted via phone (812) 918-5907.

Contact Information

Primary practice address
500 S Liberty Dr Ste 482 Bloomington IN 47403-1924
Phone: (812) 918-5907
Fax: (812) 353-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000648A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000648A Indiana

Profile Details

NPI number 1568562007
LBN Legal business name Mattox, Paul C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Feb 12th, 2024 - about 9 months 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 1568562007 NPPES
Indiana MEDICAID 300018336

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