Matosich, Stephenie
Matosich, Stephenie is an individual health care provider with primary practice located at 624 E Front Ave , Spokane WA 99202-2139. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Matosich, Stephenie can be contacted via phone (509) 626-9900.Contact Information
Primary practice address
624 E Front Ave
Spokane WA 99202-2139
Phone: (509) 626-9900
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39229 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25337 | Mississippi |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 25337 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TO60905528 | Washington |
Profile Details
| NPI number | 1548502586 |
|---|---|
| LBN Legal business name | Matosich, Stephenie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2013 |
| Last updated | Jun 17th, 2021 - about 3 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 | 1548502586 | NPPES |
| South Carolina | MEDICAID | 392293 | |
| South Carolina | Other | P01772182 |
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