Mattson, Alicia Shana

Mattson, Alicia Shana is an individual health care provider with primary practice located at 335 E Jimmie Leeds Rd , Galloway NJ 08205-4127. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mattson, Alicia Shana can be contacted via phone (609) 748-2449.

Contact Information

Primary practice address
335 E Jimmie Leeds Rd Galloway NJ 08205-4127
Phone: (609) 748-2449
Fax: (609) 748-0959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI02596800 New Jersey

Profile Details

NPI number 1972812246
LBN Legal business name Mattson, Alicia Shana
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2010
Last updated Oct 4th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972812246 NPPES
New Jersey Other 28RJ02336 STATE IMMUNIZATION PROVIDER NUMBER
New Jersey Other 28RI02596800 STATE IMMUNIZATION PROVIDER NUMBER

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