Mauterer, David John

Mauterer, David John is an individual health care provider with primary practice located at 225 Medical Center Drive Suite 303, Paducah KY 42003-7915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mauterer, David John can be contacted via phone (270) 442-9463.

Contact Information

Primary practice address
225 Medical Center Drive Suite 303 Paducah KY 42003-7915
Fax: (270) 442-2241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39195 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 46723 Kentucky

Profile Details

NPI number 1306854963
LBN Legal business name Mauterer, David John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 8th, 2015 - about 10 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 1306854963 NPPES
Kentucky MEDICAID 64521461
Kentucky MEDICAID 8955038

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