Mathis, Johnetta

Mathis, Johnetta is an individual health care provider with primary practice located at 16743 Lincoln Ave , Eastpointe MI 48021-3029. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mathis, Johnetta can be contacted via phone (313) 477-7366.

Contact Information

Primary practice address
16743 Lincoln Ave Eastpointe MI 48021-3029
Phone: (313) 477-7366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703121100 Michigan

Profile Details

NPI number 1619564531
LBN Legal business name Mathis, Johnetta
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2020
Last updated Dec 26th, 2020 - about 6 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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