Matteson, David E

Matteson, David E is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Matteson, David E can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Annapolis MD 21401-3280
Fax: (443) 481-1360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0035235 Maryland

Profile Details

NPI number 1053308908
LBN Legal business name Matteson, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 20th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053308908 NPPES
Maryland Other 145724700 FEDERAL WORKMAN'S COMP
Maryland Other 887BAA 41761203 FEDERAL WORKMAN'S COMP
Maryland Other K5850002 FEDERAL WORKMAN'S COMP
Maryland Other 1191974 FEDERAL WORKMAN'S COMP
Maryland MEDICAID 936200201275971300 FEDERAL WORKMAN'S COMP

Popular Providers