Mata, Penny Angel
Mata, Penny Angel is an individual health care provider with primary practice located at 4521 Thomas Jefferson St , Caldwell ID 83605-5100. She recently has only one registered license in Speech, Language and Hearing Service Providers / Specialist/Technologist, which is considered as her primary health care specialty. Mata, Penny Angel can be contacted via phone (208) 454-4820.Contact Information
Primary practice address
4521 Thomas Jefferson St
Caldwell ID 83605-5100
Phone: (208) 454-4820
Fax: (208) 454-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Specialist/Technologist | 235500000X |
Profile Details
| NPI number | 1518601020 |
|---|---|
| LBN Legal business name | Mata, Penny Angel |
| Credentials | MEDICAL ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2022 |
| Last updated | Apr 21st, 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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