Individual provider · Type 1 NPI
Mat Eveleth
Specialist · Leclaire, IA
NPI number
1326467036
Active
Practice location
2001 Canal Shore Dr. SW
Leclaire, IA 52753
Mailing address
2001 Canal Shore Dr SW
Le Claire, IA 52753-9564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 00620 (IA) |
Specialist: 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.
About NPI 1326467036
Mat Eveleth's National Provider Identifier is 1326467036, issued on Apr 9, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leclaire, IA. The record was last updated on Apr 9, 2014.