Mathis, Wayne Douglass
Mathis, Wayne Douglass is an sole proprietor health care provider with primary practice located at 3609 W. Magnolia Blvd. , Burbank, CA 91505. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Mathis, Wayne Douglass can be contacted via phone (818) 845-5895.Contact Information
Primary practice address
3609 W. Magnolia Blvd.
Burbank, CA 91505
Phone: (818) 845-5895
Fax: (818) 954-8634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | DC15307 | California |
Profile Details
| NPI number | 1730255233 |
|---|---|
| LBN Legal business name | Mathis, Wayne Douglass |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 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 | 1730255233 | NPPES |
| California | Other | DC15307 | STATE LICENSE NUMBER |
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