Matarese, Michelle M

Matarese, Michelle M is an individual health care provider with primary practice located at 200 S Herlong Ave Ste B , Rock Hill SC 29732-1182. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Matarese, Michelle M can be contacted via phone (803) 324-1950.

Contact Information

Primary practice address
200 S Herlong Ave Ste B Rock Hill SC 29732-1182
Phone: (803) 324-1950
Fax: (803) 324-1933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TL2930 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-01206 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1463 Massachusetts

Profile Details

NPI number 1316044266
LBN Legal business name Matarese, Michelle M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 7th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316044266 NPPES
North Carolina MEDICAID 1316044266

Popular Providers