Matewere, George G

Matewere, George G is an individual health care provider with primary practice located at 1790 Saturn Dr , New Orleans LA 70129-2270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matewere, George G can be contacted via phone (504) 253-4674.

Contact Information

Primary practice address
1790 Saturn Dr New Orleans LA 70129-2270
Fax: (504) 253-4717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M1230 Texas

Profile Details

NPI number 1548257363
LBN Legal business name Matewere, George G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 3rd, 2010 - about 16 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 1548257363 NPPES
Texas MEDICAID 1533807

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