Mattes, Carol Elizabeth
Mattes, Carol Elizabeth is an individual health care provider with primary practice located at 21785 Filigree Ct , Ashburn VA 20147-6213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mattes, Carol Elizabeth can be contacted via phone (703) 554-1100.Contact Information
Primary practice address
21785 Filigree Ct
Ashburn VA 20147-6213
Phone: (703) 554-1100
Fax: (703) 430-6985
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101235588 | Virginia |
Profile Details
NPI number | 1225140205 |
---|---|
LBN Legal business name | Mattes, Carol Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Dec 3rd, 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 | 1225140205 | NPPES |
Virginia | MEDICAID | 0101272084 |
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