Carrico, Matheis W

Carrico, Matheis W is an individual health care provider with primary practice located at 3346 Professional Park Dr , Owensboro KY 42303-4551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Carrico, Matheis W can be contacted via phone (270) 685-1066.

Contact Information

Primary practice address
3346 Professional Park Dr Owensboro KY 42303-4551
Phone: (270) 685-1066
Fax: (270) 685-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39371 Kentucky

Profile Details

NPI number 1962499624
LBN Legal business name Carrico, Matheis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Mar 23rd, 2012 - about 14 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 1962499624 NPPES
Kentucky MEDICAID 64098486
Kentucky Other 369694
Kentucky MEDICAID 20524260
Kentucky Other 50007250

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