Matvya, Caroline

Matvya, Caroline is an sole proprietor health care provider with primary practice located at 1010 W Washington Center Rd , Fort Wayne IN 46825-4155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Matvya, Caroline can be contacted via phone (269) 450-3096.

Contact Information

Primary practice address

1010 W Washington Center Rd Fort Wayne IN 46825-4155

Phone: (269) 450-3096

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	71001142A	Indiana

Profile Details

NPI number	1073623419
LBN Legal business name	Matvya, Caroline
Credentials
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Aug 30th, 2006
Last updated	Dec 6th, 2007 - about 17 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

State	Type	Number	Issuer
All States	NPI	1073623419	NPPES
Indiana	MEDICAID	200368010

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