Matta, Amira
Matta, Amira is an sole proprietor health care provider with primary practice located at 23400 Michigan Ave Ste P40 , Dearborn MI 48124-1928. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Matta, Amira can be contacted via phone (313) 689-5188.Contact Information
Primary practice address
23400 Michigan Ave Ste P40
Dearborn MI 48124-1928
Phone: (313) 689-5188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | Michigan |
Profile Details
| NPI number | 1659884799 |
|---|---|
| LBN Legal business name | Matta, Amira |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2017 |
| Last updated | Nov 12th, 2017 - about 7 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 | 1659884799 | NPPES |
| Michigan | MEDICAID | 03302913 |
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