Mischler, Matthew Joseph
Mischler, Matthew Joseph is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mischler, Matthew Joseph can be contacted via phone (309) 624-8818.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 624-8818
Fax: (309) 624-8820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301081766 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301081766 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301081766 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301081766 | Michigan |
Profile Details
| NPI number | 1174747885 |
|---|---|
| LBN Legal business name | Mischler, Matthew Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Sep 26th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174747885 | NPPES |
| Illinois | Other | 809840 | MEDICARE GROUP PTAN |
| Illinois | MEDICAID | 036121322 | MEDICARE GROUP PTAN |
| Illinois | Other | P00617104 | MEDICARE GROUP PTAN |
| Illinois | Other | CA4079 | MEDICARE GROUP PTAN |
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