Mata, Marina

Mata, Marina is an individual health care provider with primary practice located at 1500 East Medical Center Dr 1St Floor Taubman Ctr Recp C, Ann Arbor MI 48109-0322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mata, Marina can be contacted via phone (734) 936-9010.

Contact Information

Primary practice address
1500 East Medical Center Dr 1St Floor Taubman Ctr Recp C Ann Arbor MI 48109-0322
Phone: (734) 936-9010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301042055 Michigan

Profile Details

NPI number 1932280179
LBN Legal business name Mata, Marina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1932280179 NPPES
Michigan MEDICAID 1486807

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