Matalon, Tracy K
Matalon, Tracy K is an individual health care provider with primary practice located at 3340 E Goldstone Way , Meridian ID 83642-1026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Matalon, Tracy K can be contacted via phone (208) 367-5189.Contact Information
Primary practice address
3340 E Goldstone Way
Meridian ID 83642-1026
Phone: (208) 367-5189
Fax: (208) 361-5180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NP-849A | Idaho |
Profile Details
| NPI number | 1174707442 |
|---|---|
| LBN Legal business name | Matalon, Tracy K |
| Credentials | MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Apr 28th, 2011 - about 14 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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