Mathis, Daniel E

Mathis, Daniel E is an individual health care provider with primary practice located at 2496 W Charleston Blvd , Las Vegas NV 89102-2179. He recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as his primary health care specialty. Mathis, Daniel E can be contacted via phone (702) 310-3722.

Contact Information

Primary practice address
2496 W Charleston Blvd Las Vegas NV 89102-2179
Phone: (702) 310-3722
Fax: (702) 310-3722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 310 Nevada

Profile Details

NPI number 1982372645
LBN Legal business name Mathis, Daniel E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 3 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 1982372645 NPPES
Nebraska MEDICAID ITIN

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