Mathis, John R
Mathis, John R is an individual health care provider with primary practice located at 1213 24Th St #100, Anacortes WA 98221-2592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mathis, John R can be contacted via phone (360) 293-1115.Contact Information
Primary practice address
1213 24Th St #100
Anacortes WA 98221-2592
Phone: (360) 293-1115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00031284 | Washington |
Profile Details
| NPI number | 1780754739 |
|---|---|
| LBN Legal business name | Mathis, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 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 | 1780754739 | NPPES |
| Washington | MEDICAID | 1088947 |
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