Mattocks, Mari E

Mattocks, Mari E is an sole proprietor health care provider with primary practice located at 7232 Justin Way Ste 1800 , Mentor OH 44060-4881. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mattocks, Mari E can be contacted via phone (440) 578-8200.

Contact Information

Primary practice address
7232 Justin Way Ste 1800 Mentor OH 44060-4881
Phone: (440) 578-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.372117 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020206 Ohio

Profile Details

NPI number 1144763848
LBN Legal business name Mattocks, Mari E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Feb 2nd, 2021 - about 5 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 1144763848 NPPES
Ohio MEDICAID 0303805

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