Mathis, Kerrick Marie

Mathis, Kerrick Marie is an individual health care provider with primary practice located at 412 N Sawyer Rd , Kendallville IN 46755-2572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mathis, Kerrick Marie can be contacted via phone (260) 347-4900.

Contact Information

Primary practice address
412 N Sawyer Rd Kendallville IN 46755-2572
Phone: (260) 347-4900
Fax: (260) 347-4966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71011565A Indiana

Profile Details

NPI number 1053084319
LBN Legal business name Mathis, Kerrick Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2021
Last updated Oct 17th, 2022 - about 2 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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