Provider Demographics
NPI:1851545933
Name:MATHEWS, ERIN (DPM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 HOUMA BLVD
Mailing Address - Street 2:JENCARE NEIGHBORHOOD MEDICAL METAIRIE, LLC
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4182
Mailing Address - Country:US
Mailing Address - Phone:504-648-0270
Mailing Address - Fax:504-312-4448
Practice Address - Street 1:3625 HOUMA BLVD
Practice Address - Street 2:JENCARE NEIGHBORHOOD MEDICAL METAIRIE, LLC
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4182
Practice Address - Country:US
Practice Address - Phone:504-648-0270
Practice Address - Fax:504-312-4448
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA200042213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2150359Medicaid
LA2150359Medicaid