Mata, Mario

Mata, Mario is an individual health care provider with primary practice located at 10200 Ne 132Nd St , Kirkland WA 98034-2831. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Mata, Mario can be contacted via phone (425) 821-2000.

Contact Information

Primary practice address
10200 Ne 132Nd St Kirkland WA 98034-2831
Phone: (425) 821-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP60886621 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60886621 Washington

Profile Details

NPI number 1053057117
LBN Legal business name Mata, Mario
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2022
Last updated May 10th, 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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