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
Fax: (703) 430-6985
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1225140205 NPPES
Virginia MEDICAID 0101272084

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