MICHAEL JOSEPH MATCHETT NPI 1023198884

NPI Information

NPI: 1023198884
Provider Name: MICHAEL JOSEPH MATCHETT
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
563 N MAIN ST
YREKA, CA
ZIP 96097
Phone: (541) 821-7862
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Michael Joseph Matchett is a driver in Yreka, CA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Michael Joseph Matchett NPI is 1023198884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

563 N MAIN ST
YREKA, CA
ZIP 96097-524
Phone: (541) 821-7862
Fax: (530) 841-1930

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		C3358130	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MTN00497F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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