Mattar, Chantal Tiffany Therese

Mattar, Chantal Tiffany Therese is an individual health care provider with primary practice located at 12121 Broadstreet Ave , Detroit MI 48204-1550. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mattar, Chantal Tiffany Therese can be contacted via phone (313) 824-1000.

Contact Information

Primary practice address
12121 Broadstreet Ave Detroit MI 48204-1550
Phone: (313) 824-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4704288255 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704288255 Michigan

Profile Details

NPI number 1366291809
LBN Legal business name Mattar, Chantal Tiffany Therese
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2024
Last updated Jul 11th, 2024 - about 2 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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