Ducoin, Mattie Gallagher

Ducoin, Mattie Gallagher is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Ducoin, Mattie Gallagher can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606
Phone: (813) 974-2201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW206 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP08269 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024170143 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN9369604 Florida

Profile Details

NPI number 1154500056
LBN Legal business name Ducoin, Mattie Gallagher
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154500056 NPPES
Florida MEDICAID 014267600
Florida Other Y0P9L
Florida MEDICAID 07956874
Florida Other KX359
Florida MEDICAID 2418718

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