Matusik, Amanda

Matusik, Amanda is an individual health care provider with primary practice located at 34208 Van Dyke Ave , Sterling Heights MI 48312-4647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Matusik, Amanda can be contacted via phone (586) 554-7136.

Contact Information

Primary practice address
34208 Van Dyke Ave Sterling Heights MI 48312-4647
Phone: (586) 554-7136
Fax: (586) 883-9694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC021 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007420 Michigan

Profile Details

NPI number 1548548993
LBN Legal business name Matusik, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Jul 1st, 2016 - about 8 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 1548548993 NPPES
Michigan Other 5601007420 PHYSICIAN ASSISTANT STATE LICENSE

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