Trager, Mathaus Q

Trager, Mathaus Q is an individual health care provider with primary practice located at 700 High St , Williamsport PA 17701-3198. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Trager, Mathaus Q can be contacted via phone (570) 321-2800.

Contact Information

Primary practice address
700 High St Williamsport PA 17701-3198
Phone: (570) 321-2800
Fax: (570) 321-3351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010378 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00543300 New Jersey

Profile Details

NPI number 1316178791
LBN Legal business name Trager, Mathaus Q
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2009
Last updated May 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316178791 NPPES
Pennsylvania Other 2641113 HIGHMARK BLUE SHIELD
Pennsylvania Other 0749359 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 1026559160001 HIGHMARK BLUE SHIELD

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