Mathisen, Patricia
Mathisen, Patricia is an individual health care provider with primary practice located at 27 North Street , Middletown NY 10940. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mathisen, Patricia can be contacted via phone (845) 342-3900.Contact Information
Primary practice address
27 North Street
Middletown NY 10940
Phone: (845) 342-3900
Fax: (845) 343-5390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 015117 | New York |
Profile Details
| NPI number | 1104021260 |
|---|---|
| LBN Legal business name | Mathisen, Patricia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1104021260 | NPPES |
| New York | MEDICAID | 00355931 |
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