Individual
MR. PATRICK B MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 REDWOOD ST SE, BEACH CITY, OH 44608-9301
(330) 756-2962
Mailing address
216 REDWOOD ST SE, BEACH CITY, OH 44608-9301
(330) 756-2962
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7610133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194071
—
OH
Enumeration date
01/17/2023
Last updated
01/17/2023
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