Mattison, Andrea Mary
Mattison, Andrea Mary is an individual health care provider with primary practice located at 2399 Ariel St #A , Saint Paul MN 55108-2202. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mattison, Andrea Mary can be contacted via phone (651) 773-0354.Contact Information
Primary practice address
2399 Ariel St #A
Saint Paul MN 55108-2202
Phone: (651) 773-0354
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 10362 | Minnesota |
Profile Details
| NPI number | 1497205108 |
|---|---|
| LBN Legal business name | Mattison, Andrea Mary |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Feb 7th, 2018 - about 6 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 | 1497205108 | NPPES |
| Minnesota | Other | 1629421482 | NPI 2 |
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