Matista, John F

Matista, John F is an individual health care provider with primary practice located at 1330 Rockefeller Ave Suite 225, Everett WA 98201-1684. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Matista, John F can be contacted via phone (425) 261-4910.

Contact Information

Primary practice address
1330 Rockefeller Ave Suite 225 Everett WA 98201-1684
Phone: (425) 261-4910
Fax: (425) 261-4911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004886 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004886 Washington

Profile Details

NPI number 1366435943
LBN Legal business name Matista, John F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366435943 NPPES
Washington MEDICAID 8435968

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