Individual
MATTHEW T. PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2553
(614) 884-0641
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2553
(614) 884-0641
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA- 19250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171565
—
OH
01
—
P01673775
RAILROAD MEDICARE
OH
Enumeration date
06/03/2016
Last updated
01/11/2017
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