Matvya, Caroline

Matvya, Caroline is an sole proprietor health care provider with primary practice located at 1010 W Washington Center Rd , Fort Wayne IN 46825-4155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Matvya, Caroline can be contacted via phone (269) 450-3096.

Contact Information

Primary practice address
1010 W Washington Center Rd Fort Wayne IN 46825-4155
Phone: (269) 450-3096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001142A Indiana

Profile Details

NPI number 1073623419
LBN Legal business name Matvya, Caroline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Dec 6th, 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 1073623419 NPPES
Indiana MEDICAID 200368010

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