Matacale, Vaughn Mitchell
Matacale, Vaughn Mitchell is an individual health care provider with primary practice located at 1705 Tarboro St Sw , Wilson NC 27893-3428. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Matacale, Vaughn Mitchell can be contacted via phone (252) 399-8040.Contact Information
Primary practice address
1705 Tarboro St Sw
Wilson NC 27893-3428
Phone: (252) 399-8040
Fax: (252) 399-8829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | North Carolina |
Profile Details
| NPI number | 1063471084 |
|---|---|
| LBN Legal business name | Matacale, Vaughn Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063471084 | NPPES |
| North Carolina | MEDICAID | 89135JX |
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