Mata, Rolando
Mata, Rolando is an sole proprietor health care provider with primary practice located at 4007 Brookline Dr , Suffolk VA 23434-9327. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mata, Rolando can be contacted via phone (757) 934-3135.Contact Information
Primary practice address
4007 Brookline Dr
Suffolk VA 23434-9327
Phone: (757) 934-3135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1538379276 |
|---|---|
| LBN Legal business name | Mata, Rolando |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| 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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