Mino, Matthew
Mino, Matthew is an sole proprietor health care provider with primary practice located at 2801 E Camelback Rd Ste 100 , Phoenix AZ 85016-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mino, Matthew can be contacted via phone (480) 576-4310.Contact Information
Primary practice address
2801 E Camelback Rd Ste 100
Phoenix AZ 85016-4363
Phone: (480) 576-4310
Fax: (480) 576-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 63901 | Arizona |
Profile Details
| NPI number | 1265766125 |
|---|---|
| LBN Legal business name | Mino, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2009 |
| Last updated | Jan 17th, 2024 - about 2 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 | 1265766125 | NPPES |
| Arizona | Other | 63901 | ARIZONA MEDICAL LICENSE |
| Arizona | Other | S1660 | ARIZONA MEDICAL LICENSE |
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