Mathis, Christopher L

Mathis, Christopher L is an individual health care provider with primary practice located at 6215 Humphreys Blvd Suite 200, Memphis TN 38120-2367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mathis, Christopher L can be contacted via phone (901) 821-9990.

Contact Information

Primary practice address
6215 Humphreys Blvd Suite 200 Memphis TN 38120-2367
Phone: (901) 821-9990
Fax: (901) 821-9991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23722 Tennessee

Profile Details

NPI number 1104824838
LBN Legal business name Mathis, Christopher L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104824838 NPPES
Tennessee Other 6012373 BCBS
Tennessee MEDICAID 00124778 BCBS
Tennessee MEDICAID 121811001 BCBS
Tennessee MEDICAID 3068083 BCBS

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