Mathis, Bethany Jo

Mathis, Bethany Jo is an sole proprietor health care provider with primary practice located at 411A Red Bud Ln , Troy IL 62294-1061. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Mathis, Bethany Jo can be contacted via phone (618) 841-6021.

Contact Information

Primary practice address
411A Red Bud Ln Troy IL 62294-1061
Phone: (618) 841-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1528603404
LBN Legal business name Mathis, Bethany Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2019
Last updated Nov 14th, 2019 - about 5 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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