Mathison, Petcharin
Mathison, Petcharin is an sole proprietor health care provider with primary practice located at 5956 E Los Angeles Ave Ste 4 , Simi Valley CA 93063-4369. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mathison, Petcharin can be contacted via phone (805) 522-5552.Contact Information
Primary practice address
5956 E Los Angeles Ave Ste 4
Simi Valley CA 93063-4369
Phone: (805) 522-5552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 45575 | California |
Profile Details
| NPI number | 1184056699 |
|---|---|
| LBN Legal business name | Mathison, Petcharin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2013 |
| Last updated | Aug 7th, 2013 - about 12 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 | 1184056699 | NPPES |
| California | Other | 45575 | MASSAGE PRACTITIONER |
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