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Contact Information

NATHANIEL MATTISON
7500 MERCY RD
OMAHA, NE68124-2319
 Phone: 402-398-6060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NATHANIEL MATTISON · (Male)

NPI # 1073180758
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2021
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 335094
  • NE License # 37438
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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