Mattarella, Nina Louise
Mattarella, Nina Louise is an individual health care provider with primary practice located at 2870 Ne West Devils Lake Rd , Lincoln City OR 97367-5127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mattarella, Nina Louise can be contacted via phone (541) 994-9191.Contact Information
Primary practice address
2870 Ne West Devils Lake Rd
Lincoln City OR 97367-5127
Phone: (541) 994-9191
Fax: (541) 994-9034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301054688 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301054688 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD185106 | Oregon |
Profile Details
| NPI number | 1881786119 |
|---|---|
| LBN Legal business name | Mattarella, Nina Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 4th, 2020 - about 4 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 | 1881786119 | NPPES |
| Michigan | Other | 3503334051 | BCBS INDIVIDUAL PIN |
| Michigan | MEDICAID | 4796017 | BCBS INDIVIDUAL PIN |
| Michigan | MEDICAID | 1881786119 | BCBS INDIVIDUAL PIN |
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