Mata, Rolando

Mata, Rolando is an sole proprietor health care provider with primary practice located at 4007 Brookline Dr , Suffolk VA 23434-9327. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mata, Rolando can be contacted via phone (757) 934-3135.

Contact Information

Primary practice address
4007 Brookline Dr Suffolk VA 23434-9327
Phone: (757) 934-3135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1538379276
LBN Legal business name Mata, Rolando
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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