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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982620225 | NPPES |
| Pennsylvania | MEDICAID | 0005986580001 |
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