Rincon Mata, Fernando

Rincon Mata, Fernando is an individual health care provider with primary practice located at 3876 Beverly Ave Ne Bldg G , Salem OR 97305-1319. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Rincon Mata, Fernando can be contacted via phone (503) 361-2724.

Contact Information

Primary practice address
3876 Beverly Ave Ne Bldg G Salem OR 97305-1319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750872446
LBN Legal business name Rincon Mata, Fernando
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2018
Last updated May 29th, 2018 - about 7 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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