Mathis, Marjorie Jane

Mathis, Marjorie Jane is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mathis, Marjorie Jane can be contacted via phone (801) 408-6220.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 408-6220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP00001950 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OP00001950 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 9104460-1204 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9104460-1204 Utah

Profile Details

NPI number 1821213331
LBN Legal business name Mathis, Marjorie Jane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Dec 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821213331 NPPES
Washington MEDICAID 8445835

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