Mattson, Miles J
Mattson, Miles J is an sole proprietor health care provider with primary practice located at 1414 W Fair Ave Suite 249, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mattson, Miles J can be contacted via phone (906) 225-7780.Contact Information
Primary practice address
1414 W Fair Ave Suite 249
Marquette MI 49855-2675
Phone: (906) 225-7780
Fax: (906) 225-4893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301041253 | Michigan |
Profile Details
| NPI number | 1942288493 |
|---|---|
| LBN Legal business name | Mattson, Miles J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Apr 21st, 2009 - about 15 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 | 1942288493 | NPPES |
| Michigan | MEDICAID | 2794971 | |
| Michigan | Other | MM041253 |
Popular Providers
-
Morton, Jon J
111 S 90Th St , Omaha NE 68114-3907 -
Ogbolu, Francis N
9163 N County Road 25A , Piqua OH 45356-4524 -
Stout, Lisa
1060 E 100 S Ste 110, Salt Lake City UT 84102-1591 -
Bakule, Paul T
787 37Th St Ste E130, Vero Beach FL 32960-7313 -
Mering, James H
1414 W Fair Ave Suite 242, Marquette MI 49855-2675 -
Monnig, Jack A
2845 W Andrew Johnson Hwy , Morristown TN 37814-3216 -
Konigsberg, Harvey A
111 S 90Th St , Omaha NE 68114-3907 -
Lonsway, Jay M
1414 W Fair Ave Suite 250, Marquette MI 49855-2675