Mattingly, Era Louise
Mattingly, Era Louise is an sole proprietor health care provider with primary practice located at 11522 White Pine Ave , Marion IL 62959-8379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mattingly, Era Louise can be contacted via phone (618) 889-4834.Contact Information
Primary practice address
11522 White Pine Ave
Marion IL 62959-8379
Phone: (618) 889-4834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209019019 | Illinois |
Profile Details
| NPI number | 1033670062 |
|---|---|
| LBN Legal business name | Mattingly, Era Louise |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2019 |
| Last updated | Mar 31st, 2019 - about 7 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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