Mattsson, Carl Anthony

Mattsson, Carl Anthony is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 2600, Ogden UT 84403-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mattsson, Carl Anthony can be contacted via phone (801) 387-2600.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 2600 Ogden UT 84403-3271
Phone: (801) 387-2600
Fax: (801) 387-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 155171-1205 Utah

Profile Details

NPI number 1982696076
LBN Legal business name Mattsson, Carl Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 15th, 2007 - about 19 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 1982696076 NPPES
Utah Other 4360680001 CIGNA DMERC
Utah MEDICAID 04710 CIGNA DMERC
Utah Other 4053 CIGNA DMERC

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