PHILLIP LEE MATTOX NPI 1265185318

NPI Information

NPI: 1265185318
Provider Name: PHILLIP LEE MATTOX
Classification: Hearing Instrument Specialist - 237700000X
Entity Type: Individual
Address:
1416 W 4TH ST
WATERLOO, IA
ZIP 50702
Phone: (319) 232-7113
Get Directions

Phillip Lee Mattox is a hearing instrument specialist in Waterloo, IA. The provider is individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society Phillip Lee Mattox NPI is 1265185318. 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:

1416 W 4TH ST
WATERLOO, IA
ZIP 50702-908
Phone: (319) 232-7113
Fax: (319) 232-6843

The enumeration date for this NPI number is 1/29/2022 and was last updated on 1/29/2022.

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	237700000X	Hearing Instrument Specialist		079082	IOWA	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	1417145640	MEDICAID	IOWA

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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