Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAT EVELETH
Active Sole ProprietorSpecialist · LECLAIRE, IA
Registration Details
- NPI Number
- 1326467036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2014 (12.061483072854 yrs)
- Last Updated
- Apr 9, 2014
- License
-
00620 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 CANAL SHORE DR. SWLECLAIRE, IA, 52753Browse IA providers · Browse ZIP 52753
- Phone
- 5633709507
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.