Mathis, Jake D

Mathis, Jake D is an individual health care provider with primary practice located at 547 Sw 7Th St , Newport OR 97365-4909. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mathis, Jake D can be contacted via phone (541) 574-9570.

Contact Information

Primary practice address
547 Sw 7Th St Newport OR 97365-4909
Phone: (541) 574-9570
Fax: (541) 574-8857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 21-CRM-676 Oregon

Profile Details

NPI number 1265173959
LBN Legal business name Mathis, Jake D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2022
Last updated Apr 5th, 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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