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Contact Information

VELMA MATA, P.A.-C
HIGHWAY 61 S
CRYSTAL CITY, MO63019
 Phone: 636-933-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VELMA MATA · (Female)

NPI # 1457459281
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 09/20/2006
Last updated 02/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 85002144
  • MO License # 2000166686
  • MO License # 2001003695
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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