Mathews, Dorene Lois
Mathews, Dorene Lois is an sole proprietor health care provider with primary practice located at 799 Hombach St , Saint Ignace MI 49781-1735. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mathews, Dorene Lois can be contacted via phone (906) 984-2300.Contact Information
Primary practice address
799 Hombach St
Saint Ignace MI 49781-1735
Phone: (906) 984-2300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801077861 | Michigan |
Profile Details
NPI number | 1275062366 |
---|---|
LBN Legal business name | Mathews, Dorene Lois |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 12th, 2017 |
Last updated | Jun 12th, 2017 - about 7 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 | 1275062366 | NPPES |
Michigan | MEDICAID | 6801077861 |
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