Mattern, Jill Marie
Mattern, Jill Marie is an sole proprietor health care provider with primary practice located at 201 Brush St , Ukiah CA 95482-3424. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mattern, Jill Marie can be contacted via phone (707) 462-6290.Contact Information
Primary practice address
201 Brush St
Ukiah CA 95482-3424
Phone: (707) 462-6290
Fax: (707) 468-6427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A78277 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 242578-1 | New York |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14753 | California |
Profile Details
| NPI number | 1669514253 |
|---|---|
| LBN Legal business name | Mattern, Jill Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Feb 9th, 2023 - about 3 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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