Individual
JANET C MATTHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7121 STEPHANIE LN, STE 100, LINCOLN, NE 68516-5359
(402) 420-3500
Mailing address
PO BOX 7239, LOVELAND, CO 80537-0239
(402) 489-9400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18493
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06003
BLUE CROSS BLUE SHIELD
NE
05
—
100146470A
—
KS
05
—
1965558
—
IA
Enumeration date
05/20/2006
Last updated
10/19/2011
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