Doctor Name: | DR. JENNIFER ANN MATHIEU |
NPI Number: | 1124065354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | DOS-1066 |
Business Practice Address: | 1060 Gaffney Rd Bassett Army Community Hospital, Dept Ob/gyn Ft Wainwright, AK - 997035001 |
Business Phone Number: | 9073615634 |
Business Fax Number: | 9073614835 |
Mailing Address: | 1060 Gaffney Rd, Bassett Army Community Hospital, Dept Ob/gyn FT WAINWRIGHT |
State: | AK |
Postal Code: | 997035001 |
Phone Number: | 9073615634 |
Fax Number: | 9073614835 |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 08/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | DOS-1066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |