Mathews, Kaitlynn Sarah

Mathews, Kaitlynn Sarah is an individual health care provider with primary practice located at 116 Agnes Ave , Santa Maria CA 93458-2838. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Mathews, Kaitlynn Sarah can be contacted via phone (805) 457-3724.

Contact Information

Primary practice address
116 Agnes Ave Santa Maria CA 93458-2838
Phone: (805) 457-3724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-WAJRKN California

Profile Details

NPI number 1235775750
LBN Legal business name Mathews, Kaitlynn Sarah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated Jul 10th, 2023 - about 2 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 1235775750 NPPES
California Other 1205480563 TELECARE AGNES AVE

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