Mathis, Charity A

Mathis, Charity A is an individual health care provider with primary practice located at 4109 Ritchie Hwy , Brooklyn Park MD 21225-2703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mathis, Charity A can be contacted via phone (410) 609-0040.

Contact Information

Primary practice address
4109 Ritchie Hwy Brooklyn Park MD 21225-2703
Phone: (410) 609-0040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 111213 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024183967 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 111213 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R220902 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024183967 Virginia

Profile Details

NPI number 1043796014
LBN Legal business name Mathis, Charity A
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2018
Last updated May 2nd, 2022 - about 2 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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