Mathis, Denise Michelle

Mathis, Denise Michelle is an individual health care provider with primary practice located at 2660 Reidville Rd Unit 1 , Spartanburg SC 29301-3512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mathis, Denise Michelle can be contacted via phone (864) 560-9696.

Contact Information

Primary practice address
2660 Reidville Rd Unit 1 Spartanburg SC 29301-3512
Phone: (864) 560-9696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18111 South Carolina

Profile Details

NPI number 1710224217
LBN Legal business name Mathis, Denise Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Oct 10th, 2019 - about 6 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 1710224217 NPPES
South Carolina MEDICAID NP2242
South Carolina Other SC04416067
South Carolina Other P01190556

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