Mathis, Antoinette Marie

Mathis, Antoinette Marie is an individual health care provider with primary practice located at 124 Grayside Ave , Mauston WI 53948-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mathis, Antoinette Marie can be contacted via phone (608) 847-7575.

Contact Information

Primary practice address
124 Grayside Ave Mauston WI 53948-1913
Fax: (608) 847-3096
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1467068924
LBN Legal business name Mathis, Antoinette Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Sep 21st, 2020 - about 4 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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