Mattison, Pamela Jean

Mattison, Pamela Jean is an individual health care provider with primary practice located at 252 Glenmont Rd , River Falls WI 54022-8020. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mattison, Pamela Jean can be contacted via phone (715) 425-7880.

Contact Information

Primary practice address
252 Glenmont Rd River Falls WI 54022-8020
Phone: (715) 425-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 89371-030 Wisconsin

Profile Details

NPI number 1063479541
LBN Legal business name Mattison, Pamela Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 9th, 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 1063479541 NPPES
Wisconsin MEDICAID 39911900

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