Matzenauer, Ales

Matzenauer, Ales is an sole proprietor health care provider with primary practice located at 7511 Custer Rd W , Lakewood WA 98499-8138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Matzenauer, Ales can be contacted via phone (253) 473-7303.

Contact Information

Primary practice address
7511 Custer Rd W Lakewood WA 98499-8138
Phone: (253) 473-7303
Fax: (253) 473-7304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00026107 Washington

Profile Details

NPI number 1710090311
LBN Legal business name Matzenauer, Ales
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Feb 6th, 2012 - about 12 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 1710090311 NPPES
Washington Other 0288165 STATE L&I
Washington MEDICAID 1180082 STATE L&I

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