Van Blair, Matt Macarthur
Van Blair, Matt Macarthur is an individual health care provider with primary practice located at 116 Agnes Ave , Santa Maria CA 93458-2838. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Van Blair, Matt Macarthur can be contacted via phone (805) 457-3724.Contact Information
Primary practice address
116 Agnes Ave
Santa Maria CA 93458-2838
Phone: (805) 457-3724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | 37368 | California |
Profile Details
| NPI number | 1447754742 |
|---|---|
| LBN Legal business name | Van Blair, Matt Macarthur |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2018 |
| Last updated | Jan 12th, 2022 - about 4 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 | 1447754742 | NPPES |
| Other | 1205480563 | AGNES AVE |
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