Mata, Marvin Barco
Mata, Marvin Barco is an individual health care provider with primary practice located at 211 4Th St , Alexandria LA 71301-8421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Mata, Marvin Barco can be contacted via phone (315) 464-5800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD203581 | Louisiana |
Profile Details
| NPI number | 1124281852 |
|---|---|
| LBN Legal business name | Mata, Marvin Barco |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | Feb 8th, 2013 - about 11 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 | 1124281852 | NPPES |
| Louisiana | Other | 1124281852 | BLUE CROSS BLUE SHIELD |
| Louisiana | MEDICAID | 2120336 | BLUE CROSS BLUE SHIELD |
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