Organization
THE MATRIX MANAGEMENT GROUP, INC.
Active
Other names
Signature Medical Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS A HENDERSON (PRESIDENT)
(614) 901-9703
Entity
Organization
Contact information
Practice address
5805 CHANDLER CT, STE B, WESTERVILLE, OH 43082-9081
(614) 901-9703
(614) 901-0042
Mailing address
5805 CHANDLER CT, STE B, WESTERVILLE, OH 43082-9081
(614) 901-9703
(614) 901-0042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351657
ANTHEM BC BS
—
05
—
2415925
—
OH
Enumeration date
02/08/2006
Last updated
06/23/2008
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