Mathis, Derrick

Mathis, Derrick is an sole proprietor health care provider with primary practice located at 1551 N 29Th St Suite 1, Philadelphia PA 19121-3620. He recently has 6 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Community Health Worker, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Other Service Providers / Community Health Worker is his primary health care specialty. Mathis, Derrick can be contacted via phone (267) 988-5613.

Contact Information

Primary practice address
1551 N 29Th St Suite 1 Philadelphia PA 19121-3620
Phone: (267) 988-5613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1093086688
LBN Legal business name Mathis, Derrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 12 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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