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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073623419 | NPPES |
| Indiana | MEDICAID | 200368010 |
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