Mathern, Hope M

Mathern, Hope M is an individual health care provider with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501-3409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mathern, Hope M can be contacted via phone (218) 847-5611.

Contact Information

Primary practice address
1027 Washington Ave Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R206415-4 Minnesota

Profile Details

NPI number 1073881918
LBN Legal business name Mathern, Hope M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2011
Last updated Jun 18th, 2012 - about 14 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 1073881918 NPPES
Minnesota MEDICAID 1073881918

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