Mathis, James

Mathis, James is an individual health care provider with primary practice located at 330 Enterprise Dr Ste B , Philipsburg PA 16866-3174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mathis, James can be contacted via phone (814) 342-6636.

Contact Information

Primary practice address
330 Enterprise Dr Ste B Philipsburg PA 16866-3174
Phone: (814) 342-6636
Fax: (814) 342-5230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD020607E Pennsylvania

Profile Details

NPI number 1982620225
LBN Legal business name Mathis, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 29th, 2007 - about 18 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 1982620225 NPPES
Pennsylvania MEDICAID 0005986580001

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