Matteson, Milton Allen
Matteson, Milton Allen is an individual health care provider with primary practice located at 465 Saint Michaels Dr Suite 110, Santa Fe NM 87505-7670. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Matteson, Milton Allen can be contacted via phone (505) 982-3534.Contact Information
Primary practice address
465 Saint Michaels Dr Suite 110
Santa Fe NM 87505-7670
Phone: (505) 982-3534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2003-0039 | New Mexico |
Profile Details
| NPI number | 1811980279 |
|---|---|
| LBN Legal business name | Matteson, Milton Allen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | May 25th, 2016 - about 10 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 | 1811980279 | NPPES |
| New Mexico | MEDICAID | 34172866 |
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