DR. M.D. Allan Lee Mattern I, NPI 1023175635
Cardiovascular Disease Physician in Douglas, WY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1023175635 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D. Allan Lee Mattern I |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 111 S 5th St, Douglas, WY, US |
| Provider Mailing Address | 111 S 5th St, Douglas, WY, US, 826332434 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Cardiovascular Disease Physician |
| Classification | |
| Group | |
| License No. | 3059A |
| License State | WY |
| Description | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 3059A | WY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 304480 | WY | BLUE SHIELD | 01 |
| 060025397 | WY | RR MCARE - WCPS | 01 |
| 060040677 | WY | RAILROAD MEDICARE | 01 |
| 102651800 | WY | MEDICAID | 05 |
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