Mathis, Martin Dale
Mathis, Martin Dale is an sole proprietor health care provider with primary practice located at 82 State Shop Rd , Stafford VA 22554-7322. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Mathis, Martin Dale can be contacted via phone (540) 538-4973.Contact Information
Primary practice address
82 State Shop Rd
Stafford VA 22554-7322
Phone: (540) 538-4973
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | B69620707 | Virginia |
Profile Details
| NPI number | 1336878131 |
|---|---|
| LBN Legal business name | Mathis, Martin Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2022 |
| Last updated | Jun 7th, 2022 - about 4 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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