Mattox, Phillip Lee

Mattox, Phillip Lee is an individual health care provider with primary practice located at 1416 W 4Th St , Waterloo IA 50702-2908. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Mattox, Phillip Lee can be contacted via phone (319) 232-7113.

Contact Information

Primary practice address
1416 W 4Th St Waterloo IA 50702-2908
Phone: (319) 232-7113
Fax: (319) 232-6843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 079082 Iowa

Profile Details

NPI number 1265185318
LBN Legal business name Mattox, Phillip Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2022
Last updated Jan 29th, 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 1265185318 NPPES
Iowa MEDICAID 1417145640

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