Matta, Mark Ayad
Matta, Mark Ayad is an sole proprietor health care provider with primary practice located at 2616 Wilmington Rd Suite A, New Castle PA 16105-1504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Matta, Mark Ayad can be contacted via phone (724) 652-2323.Contact Information
Primary practice address
2616 Wilmington Rd Suite A
New Castle PA 16105-1504
Phone: (724) 652-2323
Fax: (724) 654-3461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 05013244 | Pennsylvania |
Profile Details
| NPI number | 1245424084 |
|---|---|
| LBN Legal business name | Matta, Mark Ayad |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Dec 4th, 2012 - about 12 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 | 1245424084 | NPPES |
| Pennsylvania | Other | 1984587 | BCBS |
| Pennsylvania | MEDICAID | 1020636200001 | BCBS |
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