Matanovich, Jamie

Matanovich, Jamie is an sole proprietor health care provider with primary practice located at 8505 E Valley View Rd , Scottsdale AZ 85250-6768. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Matanovich, Jamie can be contacted via phone (480) 484-5077.

Contact Information

Primary practice address
8505 E Valley View Rd Scottsdale AZ 85250-6768
Phone: (480) 484-5077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0187 Arizona

Profile Details

NPI number 1962549683
LBN Legal business name Matanovich, Jamie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962549683 NPPES
Arizona MEDICAID 732041

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