Xavier Al-Mateen
Student in an Organized Health Care Education/Training Program in Boise, Idaho
1033738505- Practice location
- 6348 W Emerald St, Boise, ID 83704-8732
- Phone
- 208-302-0900
- Fax
- 208-302-0955
- Last updated
- May 23, 2024
Xavier Al-Mateen is a Student in an Organized Health Care Education/Training Program based in Boise, ID. The NPI number for Xavier Al-Mateen is 1033738505 and holds license No. M-17735 (ID). The current practice location address is 6348 W Emerald St, Boise, ID 83704-8732 and the office can be reached by phone at 208-302-0900 and by fax at 208-302-0955. The NPI was assigned on April 14, 2020 and the record was last updated in NPPES on May 23, 2024.
●Provider Profile Details
- NPI Number
- 1033738505
- Provider Name
- Xavier Al-Mateen
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Enumeration Date
- April 14, 2020
- Last Update Date
- May 23, 2024
- Certification Date
- May 23, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 6348 W Emerald St
Boise, ID 83704-8732 - City
- Boise
- State
- Idaho
- ZIP
- 83704-8732
- Country
- US
- Phone Number
- 208-302-0900
- Fax Number
- 208-302-0955
✉Business Mailing Address
- Address
- Po Box 190930
Boise, ID 83719-0930 - City
- Boise
- State
- ID
- ZIP
- 83719-0930
- Phone Number
- 208-367-5170
- Fax Number
- 208-367-5180
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | No | M-17735 | ID |
| Student in an Organized Health Care Education/Training Program 193400000X - Single Specialty Group | 390200000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Boise →?Frequently Asked Questions
What is the NPI number of Xavier Al-Mateen?
The NPI number of Xavier Al-Mateen is 1033738505. It was assigned on April 14, 2020 and is currently active in the NPPES registry.
What is the specialty of Xavier Al-Mateen?
Xavier Al-Mateen is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X) and holds license No. M-17735 (ID).
Where does Xavier Al-Mateen practice?
The practice location is 6348 W Emerald St, Boise, ID 83704-8732. The office can be reached at 208-302-0900 (phone) or 208-302-0955 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033738505 directly on the NPPES registry website at npiregistry.cms.hhs.gov.