Mattern, Virginia

Mattern, Virginia is an individual health care provider with primary practice located at 1200 E War Memorial Dr , Peoria Heights IL 61616-7723. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mattern, Virginia can be contacted via phone (309) 682-3844.

Contact Information

Primary practice address
1200 E War Memorial Dr Peoria Heights IL 61616-7723
Phone: (309) 682-3844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051038152 Illinois

Profile Details

NPI number 1932482015
LBN Legal business name Mattern, Virginia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2011
Last updated Sep 24th, 2011 - about 15 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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