Mata, Jose
Mata, Jose is an individual health care provider with primary practice located at 629 Avenue D , Snohomish WA 98290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mata, Jose can be contacted via phone (605) 681-5543.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5866640-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00046741 | Washington |
Profile Details
| NPI number | 1346227170 |
|---|---|
| LBN Legal business name | Mata, Jose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 7th, 2021 - about 3 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 | 1346227170 | NPPES |
| Washington | MEDICAID | 8459430 |
Popular Providers
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Lewis, Diana Patricia
629 Avenue D , Snohomish WA 98290-2330 -
Thompson, Kristy Marie
17432 State Route 9 Se Ste 201 , Snohomish WA 98296 -
Feltner, Roland V.
1830 Bickford Ave Suite 211, Snohomish WA 98290-1749 -
Reis, Susan Marie
1212 10Th St Suite A, Snohomish WA 98290-2070 -
Cadena-Forney, Gina A
1830 Bickford Ave Suite 211, Snohomish WA 98290-1749 -
Salyer, Ival L
629 Avenue D , Snohomish WA 98290-2330 -
Trotter, William Douglas
629 Avenue D , Snohomish WA 98290-2330 -
Ihle, Loren J
401 2Nd St , Snohomish WA 98290-3008