Matal, Jazmn Samantha

Matal, Jazmn Samantha is an sole proprietor health care provider with primary practice located at 100 Park Ave , Dekalb IL 60115-3104. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Matal, Jazmn Samantha can be contacted via phone (912) 996-4514.

Contact Information

Primary practice address
100 Park Ave Dekalb IL 60115-3104
Phone: (912) 996-4514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1033580733
LBN Legal business name Matal, Jazmn Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 11 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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