Matakis, Taylor Dianne

Matakis, Taylor Dianne is an sole proprietor health care provider with primary practice located at 20 12Th St Ne , Faribault MN 55021-3812. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Matakis, Taylor Dianne can be contacted via phone (254) 290-7702.

Contact Information

Primary practice address
20 12Th St Ne Faribault MN 55021-3812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 99386 Texas
Other Service Providers / Midwife 176B00000X 1082 Minnesota

Profile Details

NPI number 1366084600
LBN Legal business name Matakis, Taylor Dianne
Credentials CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2019
Last updated Sep 24th, 2020 - about 5 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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