Mattingly, Brian
Mattingly, Brian is an sole proprietor health care provider with primary practice located at 1695 Kernersville Medical Pkwy , Kernersville NC 27284-7159. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mattingly, Brian can be contacted via phone (336) 515-5000.Contact Information
Primary practice address
1695 Kernersville Medical Pkwy
Kernersville NC 27284-7159
Phone: (336) 515-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810005599 | Virginia |
Profile Details
| NPI number | 1972929487 |
|---|---|
| LBN Legal business name | Mattingly, Brian |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2014 |
| Last updated | Jan 11th, 2017 - about 7 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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