Matty, Teresa Maria

Matty, Teresa Maria is an sole proprietor health care provider with primary practice located at 101 5Th St Se Ste. B, Barberton OH 44203-4259. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Matty, Teresa Maria can be contacted via phone (330) 745-4188.

Contact Information

Primary practice address
101 5Th St Se Ste. B Barberton OH 44203-4259
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 037175 Ohio

Profile Details

NPI number 1255409884
LBN Legal business name Matty, Teresa Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Aug 7th, 2008 - about 16 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 1255409884 NPPES
Ohio Other 300497760 TAXPAYER IDENTIFICATION
Ohio MEDICAID 0346290 TAXPAYER IDENTIFICATION

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