JAY D MATSEN NPI 1245834100

NPI Information

NPI: 1245834100
Provider Name: JAY D MATSEN
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
530 BOGACHIEL WAY
FORKS, WA
ZIP 98331
Phone: (253) 851-0116
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Jay D Matsen is an emergency medical services emergency medicine in Forks, WA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Jay D Matsen NPI is 1245834100. 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:

530 BOGACHIEL WAY
FORKS, WA
ZIP 98331-120
Phone: (253) 851-0116

The enumeration date for this NPI number is 11/22/2020 and was last updated on 11/22/2020.

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	207PE0004X	Emergency Medicine	Emergency Medical Services	AEMT.ES.61099708	WASHINGTON	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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