Mattos, Kevin Richard
Mattos, Kevin Richard is an individual health care provider with primary practice located at Marvin Shields Blvd Cbc Gulfport, Gulfport MS 39501-0000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mattos, Kevin Richard can be contacted via phone (850) 341-0754.Contact Information
Primary practice address
Marvin Shields Blvd Cbc Gulfport
Gulfport MS 39501-0000
Phone: (850) 341-0754
Fax: (228) 871-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1558576702 |
|---|---|
| LBN Legal business name | Mattos, Kevin Richard |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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