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Contact Information

MACIE MATTA
5131 BEACON HILL RD
COLUMBUS, OH43228-4442
 Phone: 614-544-1994
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for MACIE MATTA · (Female)

NPI Number 1487394870
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2022
Last updated 04/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
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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