Mathis, Ashley
Mathis, Ashley is an individual health care provider with primary practice located at 1815 E Ireland Rd Ste 100 , South Bend IN 46614-2845. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mathis, Ashley can be contacted via phone (574) 647-5790.Contact Information
Primary practice address
1815 E Ireland Rd Ste 100
South Bend IN 46614-2845
Phone: (574) 647-5790
Fax: (574) 647-5792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05011350A | Indiana |
Profile Details
| NPI number | 1093103624 |
|---|---|
| LBN Legal business name | Mathis, Ashley |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2015 |
| Last updated | Feb 14th, 2018 - about 8 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 | 1093103624 | NPPES |
| Indiana | MEDICAID | 201287510 |
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