Mathis, Charles A
Mathis, Charles A is an individual health care provider with primary practice located at 500 Arcade Ave Ste 400 , Elkhart IN 46514-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mathis, Charles A can be contacted via phone (574) 522-2284.Contact Information
Primary practice address
500 Arcade Ave Ste 400
Elkhart IN 46514-2477
Phone: (574) 522-2284
Fax: (574) 522-3952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01041130A | Indiana |
Profile Details
| NPI number | 1326042029 |
|---|---|
| LBN Legal business name | Mathis, Charles A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | May 1st, 2023 - about 2 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 | 1326042029 | NPPES |
| Indiana | MEDICAID | 200860370 |
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