1205140696 NPI number — MERENE MATHEW M.D.

Table of content: MERENE MATHEW M.D. (NPI 1205140696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205140696 NPI number — MERENE MATHEW M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MATHEW
Provider First Name:
MERENE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205140696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5515 CLEVELAND AVE
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
STEVENSVILLE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49127-9670
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-429-6604
Provider Business Mailing Address Fax Number:
269-429-1715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6416 DEANS HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERRIEN CENTER
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49102-9750
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-471-7741
Provider Business Practice Location Address Fax Number:
269-471-1581
Provider Enumeration Date:
07/28/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  4301076736 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)