Matijas, Christine Ann

Matijas, Christine Ann is an individual health care provider with primary practice located at 60 Main Street , Port Byron NY 13140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matijas, Christine Ann can be contacted via phone (315) 776-9700.

Contact Information

Primary practice address
60 Main Street Port Byron NY 13140
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331655 New York

Profile Details

NPI number 1780606798
LBN Legal business name Matijas, Christine Ann
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 18th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780606798 NPPES
New York MEDICAID 01752616

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