MEDICARE: EFFICIENT FAMILY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2016025962	MO

General Provider Information

NPI Number	:	1437655602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFFICIENT FAMILY CARE LLC

Provider Business Mailing Address
First Line	:	1207 N DOUGLASS ST
Second Line	:
City	:	MALDEN
State	:	MO
Zip	:	63863-1351
Country	:	US
Telephone Number	:	573-276-3884
Fax Number	:	573-276-3885

Provider Business Practice Location Address
First Line	:	1207 N DOUGLASS ST
Second Line	:
City	:	MALDEN
State	:	MO
Zip	:	63863-1351
Country	:	US
Telephone Number	:	573-276-3884
Fax Number	:	573-276-3885

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW CHATMAN
Credential	:	NP-C
Telephone Number	:	573-840-0508

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	04/04/2018

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