Mattia, Frank R
Mattia, Frank R is an individual health care provider with primary practice located at 2845 Greenbrier Rd 4Th Fl, Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mattia, Frank R can be contacted via phone (920) 288-8400.Contact Information
Primary practice address
2845 Greenbrier Rd 4Th Fl
Green Bay WI 54311-6519
Phone: (920) 288-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32595 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32595-20 | Wisconsin |
Profile Details
| NPI number | 1053460352 |
|---|---|
| LBN Legal business name | Mattia, Frank R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Apr 13th, 2011 - about 14 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 | 1053460352 | NPPES |
| Wisconsin | MEDICAID | 32438200 |
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