Matty, Marie E.

Matty, Marie E. is an individual health care provider with primary practice located at 19980 10Th Ave Ne Ste 202 , Poulsbo WA 98370-6322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Matty, Marie E. can be contacted via phone (360) 979-0569.

Contact Information

Primary practice address
19980 10Th Ave Ne Ste 202 Poulsbo WA 98370-6322
Phone: (360) 979-0569
Fax: (877) 805-9505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD00041619 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041619 Washington

Profile Details

NPI number 1740224880
LBN Legal business name Matty, Marie E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740224880 NPPES
Other 8918MA REGENCE BLUE SHIELD
Other 172437 REGENCE BLUE SHIELD
MEDICAID 1017760 REGENCE BLUE SHIELD
Other P00045620 REGENCE BLUE SHIELD
Other 7810457 REGENCE BLUE SHIELD

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