Mathis, Uriyah A

Mathis, Uriyah A is an sole proprietor health care provider with primary practice located at 2449 Stagecoach Rd , Oglethorpe GA 31068-8425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Mathis, Uriyah A can be contacted via phone (478) 555-5555.

Contact Information

Primary practice address
2449 Stagecoach Rd Oglethorpe GA 31068-8425
Phone: (478) 555-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000036522 Georgia

Profile Details

NPI number 1124649348
LBN Legal business name Mathis, Uriyah A
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2020
Last updated Nov 21st, 2022 - about 3 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 1124649348 NPPES
Other 16788 INDUSTRIAL

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