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NPI Code Detail

MEDICARE: CHAD MATHIEU A.T.C.

MEDICARE:   CHAD  MATHIEU  A.T.C.
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
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1518248558
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD MATHIEU A.T.C.
Provider Business Mailing Address
First Line : 57 GREENSVIEW DR
Second Line :
City : HORSEHEADS
State : NY
Zip : 14845-9336
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 406 W CHURCH ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-2603
Country : US
Telephone Number : 607-732-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2011
Last Update Date : 11/15/2017

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