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Michael Joseph Matchett
Driver in Yreka, California
NPI 1023198884

Michael Joseph Matchett is a Driver based in Yreka, CA. Michael Joseph Matchett practices in Yreka, CA. The NPI Number for Michael Joseph Matchett is 1023198884 and holds a License No. C3358130 (California).

The current practice location address for Michael Joseph Matchett is 563 N Main St, Yreka, CA and can be reached out via phone at 541-821-7862 and via fax at 530-841-1930.

Location: 563 N Main St, Yreka, CA, 96097-2524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023198884
Provider Name
Michael Joseph Matchett
Credential
Provider Entity Type
Individual
Gender
Male
Address
563 N Main St, Yreka, CA, 96097-2524
Phone Number
541-821-7862
Fax Number
530-841-1930
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MTN00497F 05 CA
institution
Provider Business Practice Location Address Details
Address
563 N Main St
City
Yreka
State
California
Zip
96097-2524
Phone Number
541-821-7862
Fax Number
530-841-1930
person
Provider Business Mailing Address Details
Address
563 N Main St
City
Yreka
State
California
Zip
96097-2524
Phone Number
541-821-7862
Fax Number
530-841-1930
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
C3358130 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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