Mattson, Alexis
Mattson, Alexis is an individual health care provider with primary practice located at 1770 N Nina Cir Unit 4 , Wasilla AK 99654-5658. 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. Mattson, Alexis can be contacted via phone (907) 355-5302.Contact Information
Primary practice address
1770 N Nina Cir Unit 4
Wasilla AK 99654-5658
Phone: (907) 355-5302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1285355099 |
|---|---|
| LBN Legal business name | Mattson, Alexis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2022 |
| Last updated | Sep 9th, 2022 - about 3 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 | 1285355099 | NPPES |
| Alaska | Other | 603612779 | PREMERA |
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