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Contact Information

HERBERT R MATTISON, MD
1633 N CAPITOL AVE.
SUITE 750
INDIANAPOLIS, IN46202-1270
 Phone: 317-962-0953
 Fax: 317-962-2455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HERBERT R MATTISON · (Male)

NPI Number 1043250939
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 07/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01039266A
  • IN Medicaid 100102960
Hospital affiliation(s)
  • FRANCISCAN ST FRANCIS HEALTH - INDIANAPOLIS - (Acute Care)
    8111 S EMERSON AVE
    INDIANAPOLIS, IN 46237
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • INDIANA UNIVERSITY HEALTH NORTH HOSPITAL - (Acute Care)
    11700 N MERIDIAN ST
    CARMEL, IN 46032
  • IU HEALTH WEST HOSPITAL - (Acute Care)
    1111 N RONALD REAGAN PKWY
    AVON, IN 46123
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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