MR. MAT EVELETH NPI 1326467036

NPI Information

NPI: 1326467036
Provider Name: MR. MAT EVELETH
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2001 CANAL SHORE DR. SW
LECLAIRE, IA
ZIP 52753
Phone: (563) 370-9507
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MR. Mat Eveleth is a specialist in Leclaire, IA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Mat Eveleth NPI is 1326467036. 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:

2001 CANAL SHORE DR. SW
LECLAIRE, IA
ZIP 52753
Phone: (563) 370-9507

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.

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	174400000X	Specialist		00620	IOWA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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