Matisoff, David N
Matisoff, David N is an individual health care provider with primary practice located at 3960 Patient Care Dr Suite 113, Lansing MI 48911-4275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Matisoff, David N can be contacted via phone (517) 484-0004.Contact Information
Primary practice address
3960 Patient Care Dr Suite 113
Lansing MI 48911-4275
Phone: (517) 484-0004
Fax: (517) 484-7241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | DM040001 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 4301040001 | Michigan |
Profile Details
| NPI number | 1649263633 |
|---|---|
| LBN Legal business name | Matisoff, David N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Feb 29th, 2016 - about 9 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 | 1649263633 | NPPES |
| Michigan | Other | 350C31064 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 7500132 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | L3338302 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 40155 | BLUE CROSS BLUE SHIELD |
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