Mattern, John Qa
Mattern, John Qa is an individual health care provider with primary practice located at 1051 Loftis Blvd Suite 100, Newport News VA 23606-3069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mattern, John Qa can be contacted via phone (757) 873-9400.Contact Information
Primary practice address
1051 Loftis Blvd Suite 100
Newport News VA 23606-3069
Phone: (757) 873-9400
Fax: (757) 873-9420
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0102024256 | Virginia |
Profile Details
NPI number | 1730184425 |
---|---|
LBN Legal business name | Mattern, John Qa |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Jan 17th, 2019 - about 5 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 | 1730184425 | NPPES |
Virginia | Other | 110054750 | RAILROAD MEDICARE |
Virginia | MEDICAID | 005808855 | RAILROAD MEDICARE |
Virginia | Other | 55097 | RAILROAD MEDICARE |
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