Mattingly, Nicholas Charles
Mattingly, Nicholas Charles is an individual health care provider with primary practice located at 800 Zorn Ave Gec Division, Louisville KY 40206-1433. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Mattingly, Nicholas Charles can be contacted via phone (502) 287-4000.Contact Information
Primary practice address
800 Zorn Ave Gec Division
Louisville KY 40206-1433
Phone: (502) 287-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 42491 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 42491 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42491 | Kentucky |
Profile Details
| NPI number | 1679609929 |
|---|---|
| LBN Legal business name | Mattingly, Nicholas Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Mar 4th, 2013 - about 13 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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