Mattos, Natalie Angele
Mattos, Natalie Angele is an individual health care provider with primary practice located at 1114 6Th St , Modesto CA 95354-2203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mattos, Natalie Angele can be contacted via phone (209) 576-2845.Contact Information
Primary practice address
1114 6Th St
Modesto CA 95354-2203
Phone: (209) 576-2845
Fax: (209) 236-1290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA18095 | California |
Profile Details
NPI number | 1265415525 |
---|---|
LBN Legal business name | Mattos, Natalie Angele |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1265415525 | NPPES |
California | Other | 1069551 | NCCPA CERT # |
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