Mattingly, Catherine Faye

Mattingly, Catherine Faye is an sole proprietor health care provider with primary practice located at 2001 E Greenville St , Anderson SC 29621-1529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mattingly, Catherine Faye can be contacted via phone (864) 332-3098.

Contact Information

Primary practice address
2001 E Greenville St Anderson SC 29621-1529
Fax: (855) 232-3959
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2428 South Carolina

Profile Details

NPI number 1902873912
LBN Legal business name Mattingly, Catherine Faye
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Mar 28th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902873912 NPPES
South Carolina MEDICAID NP0103

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