Mathis, Michael Othello

Mathis, Michael Othello is an sole proprietor health care provider with primary practice located at Uss Truxtun Ddg 103, Fpo AE 09588-1309. He recently has only one registered license in Hospitals / Military General Acute Care Hospital. Operational (Transportable), which is considered as his primary health care specialty. Mathis, Michael Othello can be contacted via phone (757) 445-6164.

Contact Information

Primary practice address
Uss Truxtun Ddg 103 Fpo AE 09588-1309
Phone: (757) 445-6164
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / Military General Acute Care Hospital. Operational (Transportable) 2865X1600X California

Profile Details

NPI number 1659612927
LBN Legal business name Mathis, Michael Othello
Credentials SURFACE FORCE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2013
Last updated Mar 11th, 2013 - about 11 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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