EDWARD LOUIS-JAMES MATUSIK NP NPI 1255811246

NPI Information

NPI: 1255811246
Provider Name: EDWARD LOUIS-JAMES MATUSIK, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
7751 BYRON CENTER AVE SW
BYRON CENTER, MI
ZIP 49315
Phone: (616) 267-7668
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Edward Louis-james Matusik, NP is a gerontology nurse practitioner in Byron Center, MI with 6 years of experience. Edward Louis-james Matusik, NP NPI is 1255811246. 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:

7751 BYRON CENTER AVE SW
BYRON CENTER, MI
ZIP 49315-001
Phone: (616) 267-7668

The NPI 1255811246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2018 and was last updated on 1/22/2019.

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	363LG0600X	Nurse Practitioner	Gerontology	4704209003	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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