Individual
DR. STEVEN JAMES MATTES
Active
Individual
DR. STEVEN JAMES MATTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
AO6227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193185
—
IA
01
—
15031
MIDLANDS CHOICE PIN
IA
01
—
49282
BLUE CROSS BLUE SHIELD PI
IA
01
—
612396
UNITED HEALTHCARE PIN
IA
Enumeration date
12/27/2005
Last updated
09/26/2011
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