Eugenio B Matos
Neurologist
1210 W 18th St Ste 100
Sioux Falls
, South Dakota 57104-9890
Eugenio B Matos
Neurologist
1210 W 18th St Ste 100
Sioux Falls
, South Dakota 57104-9890
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Eugenio B Matos
- Po Box 5074
- Sioux Falls, SD
- Zip : 57117-5074
- Phone :
Second Address
- Eugenio B Matos
- 1210 W 18th St Ste 100
- Sioux Falls, SD
- Zip : 57104-9890
- Fax : (605) 312-8501
- Phone : (605) 312-8500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 3911 | SD |
National Provider Identifier
| NPI | 1023128444 |
|---|---|
| Provider Name | Eugenio B Matos |
| First Address | Sioux Falls, SD 57117-5074 |
| Second Address | Sioux Falls, SD 57104-9890 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 21/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A62959 | (02) |
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.