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Mrs. Heather Lynne Mata, PA-C
Physician Assistant in Breckenridge, Michigan
NPI 1518912971

Heather Lynne Mata is a Physician Assistant based in Terre Haute, MI. Heather Lynne Mata practices in Breckenridge, MI and has the professional credentials of PA-C. The NPI Number for Heather Lynne Mata is 1518912971 and holds a License No. 10001212A (Michigan).

The current practice location address for Heather Lynne Mata is 302 W Chestnut St, Breckenridge, MI and can be reached out via phone at 989-842-3118 and via fax at 989-842-1110. You can also correspond with Heather Lynne Mata through the mailing address at 110 CRAWFORD ST, TERRE HAUTE, IN - 47807-4614 (mailing address contact number: 812-231-5678).

Location: 302 W Chestnut St, Breckenridge, MI, 47807-4614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518912971
Provider Name
Heather Lynne Mata
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
302 W Chestnut St, Breckenridge, MI, 47807-4614
Phone Number
989-842-3118
Fax Number
989-842-1110
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0852915110 01 MI BC PIN
1010612 01 MI MCLAREN
institution
Provider Business Practice Location Address Details
Address
302 W Chestnut St
City
Breckenridge
State
Michigan
Zip
48615-9579
Phone Number
989-842-3118
Fax Number
989-842-1110
person
Provider Business Mailing Address Details
Address
110 Crawford St
City
Terre Haute
State
Indiana
Zip
47807-4614
Phone Number
812-231-5678
Fax Number
812-231-4475
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601002771 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10001212A (Indiana)
Definition
Definition to come...
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