Pina, Matt Christopher
Pina, Matt Christopher is an sole proprietor health care provider with primary practice located at 2027 Casey Ave , Mount Vernon IL 62864-4477. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Pina, Matt Christopher can be contacted via phone (740) 770-7096.Contact Information
Primary practice address
2027 Casey Ave
Mount Vernon IL 62864-4477
Phone: (740) 770-7096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | P500-5439-2244 | Illinois |
Profile Details
| NPI number | 1932671625 |
|---|---|
| LBN Legal business name | Pina, Matt Christopher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2018 |
| Last updated | Dec 19th, 2018 - about 8 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 | 1932671625 | NPPES |
| Illinois | MEDICAID | P500-5439-2244 |
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