Mata, Nicholas

Mata, Nicholas is an sole proprietor health care provider with primary practice located at 166 Defense Hwy Ste 300 , Annapolis MD 21401-8926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mata, Nicholas can be contacted via phone (443) 808-1808.

Contact Information

Primary practice address
166 Defense Hwy Ste 300 Annapolis MD 21401-8926
Phone: (443) 808-1808
Fax: (443) 214-5356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X D90988 Maryland
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D90988 Maryland

Profile Details

NPI number 1750736658
LBN Legal business name Mata, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2016
Last updated Aug 3rd, 2021 - 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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