Span, Mattea Rose

Span, Mattea Rose is an sole proprietor health care provider with primary practice located at 715 Pyle Dr , Kingsford MI 49802-4456. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Span, Mattea Rose can be contacted via phone (906) 774-0522.

Contact Information

Primary practice address
715 Pyle Dr Kingsford MI 49802-4456
Phone: (906) 774-0522
Fax: (906) 774-1570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 243214 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 4704340419 Michigan

Profile Details

NPI number 1891434882
LBN Legal business name Span, Mattea Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2022
Last updated Sep 26th, 2022 - about 3 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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