Matott, Dezeray Clare
Matott, Dezeray Clare is an individual health care provider with primary practice located at 12961 27Th Ave , Chippewa Falls WI 54729-5699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matott, Dezeray Clare can be contacted via phone (715) 738-3700.Contact Information
Primary practice address
12961 27Th Ave
Chippewa Falls WI 54729-5699
Phone: (715) 738-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6503-33 | Wisconsin |
Profile Details
| NPI number | 1649655952 |
|---|---|
| LBN Legal business name | Matott, Dezeray Clare |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2015 |
| Last updated | Jul 28th, 2015 - about 10 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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