Mathias, Duane Alan

Mathias, Duane Alan is an sole proprietor health care provider with primary practice located at 5847 Broadview Rd , Parma OH 44134-3102. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mathias, Duane Alan can be contacted via phone (216) 749-6162.

Contact Information

Primary practice address
5847 Broadview Rd Parma OH 44134-3102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30-016454 Ohio

Profile Details

NPI number 1437225745
LBN Legal business name Mathias, Duane Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 26th, 2008 - about 16 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 1437225745 NPPES
Ohio MEDICAID 2647363

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