Holliday, Mattie
Holliday, Mattie is an sole proprietor health care provider with primary practice located at 16 Octave Ct , Newark DE 19713-1915. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Holliday, Mattie can be contacted via phone (302) 377-5774.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | Delaware |
Profile Details
NPI number | 1700484060 |
---|---|
LBN Legal business name | Holliday, Mattie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 9th, 2020 |
Last updated | Oct 9th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700484060 | NPPES |
Delaware | MEDICAID | 000000568 |
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