Mattson, Jon Robert

Mattson, Jon Robert is an individual health care provider with primary practice located at 5830 Nw Barry Rd , Kansas City MO 64154-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mattson, Jon Robert can be contacted via phone (816) 880-6200.

Contact Information

Primary practice address
5830 Nw Barry Rd Kansas City MO 64154-2778
Phone: (816) 880-6200
Fax: (816) 880-6206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 2000165578 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000165578 Missouri

Profile Details

NPI number 1346253580
LBN Legal business name Mattson, Jon Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 14th, 2023 - 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 1346253580 NPPES
Missouri Other W05000001 MEDICARE PTAN-HOSPITAL
Missouri MEDICAID 502240708 MEDICARE PTAN-HOSPITAL
Missouri Other T92000001 MEDICARE PTAN-HOSPITAL

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