Mattingly, Gobel E

Mattingly, Gobel E is an individual health care provider with primary practice located at 943 Maple Dr , Morgantown WV 26505-2812. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Mattingly, Gobel E can be contacted via phone (304) 599-2515.

Contact Information

Primary practice address
943 Maple Dr Morgantown WV 26505-2812
Phone: (304) 599-2515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 001823 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1013235548
LBN Legal business name Mattingly, Gobel E
Credentials MS, PTA, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2010
Last updated Mar 27th, 2013 - about 12 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 1013235548 NPPES
West Virginia Other PTA 001823 PHYSICAL THERAPIST ASSISTANT
West Virginia Other 070702738 PHYSICAL THERAPIST ASSISTANT

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