Matta, Ibtisam
Matta, Ibtisam is an individual health care provider with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Matta, Ibtisam can be contacted via phone (616) 336-3765.Contact Information
Primary practice address
790 Fuller Ave Ne
Grand Rapids MI 49503-1918
Phone: (616) 336-3765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 4704359386 | Michigan |
Profile Details
| NPI number | 1063176543 |
|---|---|
| LBN Legal business name | Matta, Ibtisam |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2021 |
| Last updated | Oct 29th, 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.
Popular Providers
-
Lalley, Debra S
1406 6Th Ave N St Cloud Hospital Behavioral Health Clinic, St Cloud MN 56303 -
Link, Helen R.
1969 W Hart Rd Beloit Memorial Hospital (Counseling Care Center), Beloit WI 53511-2230 -
Duplessis, Denise S.
161 W Main St , Dudley MA 01571 -
Boeve, Karen
1111 Fulton St , Grand Haven MI 49417-1569 -
Derr, Anna
3333 36Th St Se , Grand Rapids MI 49512-2809 -
Montou, Katherine
7309 S 180 W , Midvale UT 84047-1020 -
Angelo, Lois
11 Spencer St , Lexington MA 02420-3912 -
Lynch, Caroline
3333 36Th St Se , Grand Rapids MI 49512-2809