Matteson, Derric K

Matteson, Derric K is an sole proprietor health care provider with primary practice located at 8432 6Th Ave Apt 4 , Tacoma WA 98465-1056. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Matteson, Derric K can be contacted via phone (253) 579-8664.

Contact Information

Primary practice address
8432 6Th Ave Apt 4 Tacoma WA 98465-1056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X MA60101907 Washington

Profile Details

NPI number 1881919082
LBN Legal business name Matteson, Derric K
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2010
Last updated Mar 30th, 2010 - about 16 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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