Dr. Jan E Mathisen
Pediatrician Child Neurologist
1940 Elmer J Bissell Rd Suite C
Birmingham
, Alabama 35243-2941
Dr. Jan E Mathisen
Pediatrician Child Neurologist
1940 Elmer J Bissell Rd Suite C
Birmingham
, Alabama 35243-2941
(205) 638-5879
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Jan E Mathisen
- 1940 Elmer J Bissell Rd Suite C
- Birmingham, AL
- Zip : 35243-2941
- Fax : (205) 638-5879
- Phone : (205) 638-5860
Second Address
- Dr. Jan E Mathisen
- 1940 Elmer J Bissell Rd Suite C
- Birmingham, AL
- Zip : 35243-2941
- Fax : (205) 638-5879
- Phone : (205) 638-5860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 11165 | AL |
| Y | 2084N0402X | Child Neurologist | 11165 | AL |
National Provider Identifier
| NPI | 1275687766 |
|---|---|
| Provider Name | Dr. Jan E Mathisen |
| First Address | Birmingham, AL 35243-2941 |
| Second Address | Birmingham, AL 35243-2941 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 21/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 18033 | BLUE CROSS (01) | AL |
| 8804680 | (05) | AL |
| C76764 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.