Matzen, Jane Louise

Matzen, Jane Louise is an individual health care provider with primary practice located at 317 Vanness Ave , Ottumwa IA 52501-1434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Matzen, Jane Louise can be contacted via phone (641) 682-8145.

Contact Information

Primary practice address
317 Vanness Ave Ottumwa IA 52501-1434
Phone: (641) 682-8145
Fax: (641) 682-8857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C053429 Iowa

Profile Details

NPI number 1366438681
LBN Legal business name Matzen, Jane Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 12th, 2007 - about 17 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 1366438681 NPPES
Iowa Other 20689 WELLMARK BCBS
Iowa MEDICAID 0425165 WELLMARK BCBS

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