Mattern, John Qa
Mattern, John Qa is an individual health care provider with primary practice located at 78 Medical Center Dr , Fishersville VA 22939-2332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mattern, John Qa can be contacted via phone (540) 932-4075.Contact Information
Primary practice address
78 Medical Center Dr
Fishersville VA 22939-2332
Phone: (540) 932-4075
Fax: (540) 932-5199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0102201424 | Virginia |
Profile Details
| NPI number | 1164495354 |
|---|---|
| LBN Legal business name | Mattern, John Qa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Sep 8th, 2021 - 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 | 1164495354 | NPPES |
| Virginia | Other | 5748409 | CIGNA |
| Virginia | Other | 5886945 | CIGNA |
| Virginia | Other | 64916 | CIGNA |
| Virginia | Other | 2202367 | CIGNA |
| Virginia | Other | 466150 | CIGNA |
| Virginia | MEDICAID | 005886945 | CIGNA |
| Virginia | Other | 210242 | CIGNA |
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