Mattern, Michael Lyn

Mattern, Michael Lyn is an individual health care provider with primary practice located at 724 S New St , Dover DE 19904-3540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mattern, Michael Lyn can be contacted via phone (302) 734-3416.

Contact Information

Primary practice address
724 S New St Dover DE 19904-3540
Phone: (302) 734-3416
Fax: (302) 734-4960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C1-0002009 Delaware

Profile Details

NPI number 1811910391
LBN Legal business name Mattern, Michael Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 20th, 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 1811910391 NPPES
Delaware MEDICAID 0000130101

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