Mathews, Cris Ann

Mathews, Cris Ann is an individual health care provider with primary practice located at 240 Minnesota St , Rapid City SD 57701-6200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mathews, Cris Ann can be contacted via phone (605) 718-5123.

Contact Information

Primary practice address
240 Minnesota St Rapid City SD 57701-6200
Fax: (605) 719-9509
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0278 South Dakota

Profile Details

NPI number 1164469185
LBN Legal business name Mathews, Cris Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 20th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164469185 NPPES
South Dakota MEDICAID 6822032

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