Matusov, Vadym

Matusov, Vadym is an sole proprietor health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Matusov, Vadym can be contacted via phone (209) 300-8800.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 300-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN 235920 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95070466 California

Profile Details

NPI number 1265817811
LBN Legal business name Matusov, Vadym
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2015
Last updated Jul 15th, 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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