Doctor Name: | MICHAEL JOSEPH MATCHETT |
NPI Number: | 1023198884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | C3358130 |
Business Practice Address: | 563 N Main St Yreka, CA - 960972524 |
Business Phone Number: | 5418217862 |
Business Fax Number: | 5308411930 |
Mailing Address: | 563 N Main St, YREKA |
State: | CA |
Postal Code: | 960972524 |
Phone Number: | 5418217862 |
Fax Number: | 5308411930 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | C3358130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |