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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477540243 NPPES
Wisconsin MEDICAID 40938300

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