Mathis, Derrick John

Mathis, Derrick John is an sole proprietor health care provider with primary practice located at 9827 Sudley Manor Dr , Manassas VA 20109-6232. 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, Derrick John can be contacted via phone (703) 530-7751.

Contact Information

Primary practice address
9827 Sudley Manor Dr Manassas VA 20109-6232
Phone: (703) 530-7751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 1706000192 Virginia

Profile Details

NPI number 1780822841
LBN Legal business name Mathis, Derrick John
Credentials ALFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2009
Last updated Jan 28th, 2009 - about 16 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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