Mata, Charles Sedillo
Mata, Charles Sedillo is an individual health care provider with primary practice located at 4100 S Ferdon Blvd B-4, Crestview FL 32536-5252. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mata, Charles Sedillo can be contacted via phone (850) 449-0380.Contact Information
Primary practice address
4100 S Ferdon Blvd B-4
Crestview FL 32536-5252
Phone: (850) 449-0380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ORT157 | Florida |
Profile Details
| NPI number | 1245438704 |
|---|---|
| LBN Legal business name | Mata, Charles Sedillo |
| Credentials | Certified Orthotist (CO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Nov 1st, 2007 - about 18 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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