Mattice, Michael Scott

Mattice, Michael Scott is an individual health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335-4219. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mattice, Michael Scott can be contacted via phone (951) 643-2340.

Contact Information

Primary practice address
14677 Merrill Ave Fontana CA 92335-4219
Phone: (951) 643-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1386270270
LBN Legal business name Mattice, Michael Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2020
Last updated Mar 23rd, 2020 - 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.

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