Matukaitis, Alice

Matukaitis, Alice is an individual health care provider with primary practice located at 10 E Independence St , Shamokin PA 17872-6804. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Matukaitis, Alice can be contacted via phone (570) 648-0582.

Contact Information

Primary practice address
10 E Independence St Shamokin PA 17872-6804
Phone: (570) 648-0582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN507564L Pennsylvania

Profile Details

NPI number 1700957214
LBN Legal business name Matukaitis, Alice
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 6th, 2012 - about 12 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 1700957214 NPPES
Pennsylvania Other 50004271 BLUE CROSS PROVIDER NO.
Pennsylvania Other MA1332162 BLUE CROSS PROVIDER NO.

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