Matista, John F
Matista, John F is an individual health care provider with primary practice located at 1330 Rockefeller Ave Suite 225, Everett WA 98201-1684. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Matista, John F can be contacted via phone (425) 261-4910.Contact Information
Primary practice address
1330 Rockefeller Ave Suite 225
Everett WA 98201-1684
Phone: (425) 261-4910
Fax: (425) 261-4911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004886 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10004886 | Washington |
Profile Details
| NPI number | 1366435943 |
|---|---|
| LBN Legal business name | Matista, John F |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Dec 12th, 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 | 1366435943 | NPPES |
| Washington | MEDICAID | 8435968 |
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