Individual
JACK E MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1026 NORTHEAST DR, STE E, JEFFERSON CITY, MO 65109-2517
(573) 635-3850
(573) 635-1558
Mailing address
1026 NORTHEAST DR, STE E, JEFFERSON CITY, MO 65109-2517
(573) 635-3850
(573) 635-1558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007037859
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2007037859
MO
Other
Enumeration date
03/05/2008
Last updated
12/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us