Mattek, Patric William
Mattek, Patric William is an sole proprietor health care provider with primary practice located at 970 S Silver Lake St Ste 102 , Oconomowoc WI 53066-3802. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mattek, Patric William can be contacted via phone (262) 569-7100.Contact Information
Primary practice address
970 S Silver Lake St Ste 102
Oconomowoc WI 53066-3802
Phone: (262) 569-7100
Fax: (262) 567-6295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2508-57 | Wisconsin |
Profile Details
| NPI number | 1477540243 |
|---|---|
| LBN Legal business name | Mattek, Patric William |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Apr 11th, 2023 - about 3 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 | 1477540243 | NPPES |
| Wisconsin | MEDICAID | 40938300 |
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