Johnson, Mattie Raydon
Johnson, Mattie Raydon is an individual health care provider with primary practice located at 625 Albany Ave , Torrington WY 82240-1530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Mattie Raydon can be contacted via phone (307) 532-2107.Contact Information
Primary practice address
625 Albany Ave
Torrington WY 82240-1530
Phone: (307) 532-2107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 44901 | Wyoming |
Profile Details
| NPI number | 1003537564 |
|---|---|
| LBN Legal business name | Johnson, Mattie Raydon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2022 |
| Last updated | Sep 2nd, 2022 - about 4 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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