Matteson, Michael Leroy

Matteson, Michael Leroy is an individual health care provider with primary practice located at 305 W Jackson St Suite 105, Carbondale IL 62901-1474. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Matteson, Michael Leroy can be contacted via phone (618) 536-2565.

Contact Information

Primary practice address
305 W Jackson St Suite 105 Carbondale IL 62901-1474
Phone: (618) 536-2565
Fax: (618) 536-2835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 385000710 Illinois

Profile Details

NPI number 1033386115
LBN Legal business name Matteson, Michael Leroy
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2008
Last updated Oct 13th, 2011 - about 15 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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