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:
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Health care specialties

SpecialtyCodeLicense #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 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730184425 NPPES
Virginia Other 110054750 RAILROAD MEDICARE
Virginia MEDICAID 005808855 RAILROAD MEDICARE
Virginia Other 55097 RAILROAD MEDICARE

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