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Contact Information

MATTHEW CATERINE
19609 E 9TH ST S
INDEPENDENCE, MO64056-3088
 Phone: 816-796-1412
 Fax: 816-796-3398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for MATTHEW CATERINE · (Male)

NPI # 1821087263
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2005
Last updated 08/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2002000093
  • KS Medicaid 100414880B
  • MO Medicaid 205834203
  • KS Other P00313595 RR MEDICARE
  • MO Other 300129106 RR MEDICARE
  • MO Other P00102244 RR MEDICARE
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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