Mattingly, Katherine Ann
Mattingly, Katherine Ann is an individual health care provider with primary practice located at 122 Wyoming St , Dayton OH 45409-2731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mattingly, Katherine Ann can be contacted via phone (937) 223-4461.Contact Information
Primary practice address
122 Wyoming St
Dayton OH 45409-2731
Phone: (937) 223-4461
Fax: (937) 224-1945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50002181 | Ohio |
Profile Details
| NPI number | 1699774174 |
|---|---|
| LBN Legal business name | Mattingly, Katherine Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jan 28th, 2014 - about 11 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 | 1699774174 | NPPES |
| Ohio | MEDICAID | 0067797 |
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