Mattson, John T

Mattson, John T is an individual health care provider with primary practice located at 3010 Colby St 118, Berkeley CA 94705-2059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mattson, John T can be contacted via phone (800) 943-8099.

Contact Information

Primary practice address
3010 Colby St 118 Berkeley CA 94705-2059
Phone: (800) 943-8099
Fax: (510) 845-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G33079 California

Profile Details

NPI number 1073545950
LBN Legal business name Mattson, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073545950 NPPES
California Other G33079 BLUE CROSS
California MEDICAID 00G330790 BLUE CROSS
California Other 250007310 BLUE CROSS
California Other G33079 BLUE CROSS
California Other 00G330790 BLUE CROSS

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