Mattson, Scott E.
Mattson, Scott E. is an individual health care provider with primary practice located at 7411 Hope Dr Ste C , Fort Wayne IN 46815-5687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mattson, Scott E. can be contacted via phone (260) 234-5400.Contact Information
Primary practice address
7411 Hope Dr Ste C
Fort Wayne IN 46815-5687
Phone: (260) 234-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 02001461A | Indiana |
Profile Details
| NPI number | 1477523645 |
|---|---|
| LBN Legal business name | Mattson, Scott E. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jun 2nd, 2022 - about 3 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 | 1477523645 | NPPES |
| Other | 060057216 | RAILROAD | |
| MEDICAID | 200207560 | RAILROAD | |
| Other | P00752848 | RAILROAD | |
| Other | 000000087427 | RAILROAD | |
| MEDICAID | 2123446 | RAILROAD |
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