Matzke, Gerald E

Matzke, Gerald E is an sole proprietor health care provider with primary practice located at 918 20Th Street , Gothenburg NE 69138-1237. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Matzke, Gerald E can be contacted via phone (308) 537-7131.

Contact Information

Primary practice address
918 20Th Street Gothenburg NE 69138-1237
Phone: (308) 537-7131
Fax: (308) 537-7310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0436174 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 16542 Nebraska

Profile Details

NPI number 1154345973
LBN Legal business name Matzke, Gerald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Apr 14th, 2015 - about 9 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 1154345973 NPPES
Nebraska Other 07025 BC/BS
Nebraska MEDICAID 10026082600 BC/BS

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