Matyasic, Julie A
Matyasic, Julie A is an individual health care provider with primary practice located at 463 E Circle Dr , East Lansing MI 48824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Matyasic, Julie A can be contacted via phone (517) 884-6546.Contact Information
Primary practice address
463 E Circle Dr
East Lansing MI 48824
Phone: (517) 884-6546
Fax: (516) 432-9460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601002675 | Michigan |
Profile Details
| NPI number | 1437203130 |
|---|---|
| LBN Legal business name | Matyasic, Julie A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Nov 5th, 2013 - about 13 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 | 1437203130 | NPPES |
| Michigan | MEDICAID | 1437203130 |
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