Mathis, Uriyah A
Mathis, Uriyah A is an sole proprietor health care provider with primary practice located at 2449 Stagecoach Rd , Oglethorpe GA 31068-8425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Mathis, Uriyah A can be contacted via phone (478) 555-5555.Contact Information
Primary practice address
2449 Stagecoach Rd
Oglethorpe GA 31068-8425
Phone: (478) 555-5555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000036522 | Georgia |
Profile Details
| NPI number | 1124649348 |
|---|---|
| LBN Legal business name | Mathis, Uriyah A |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2020 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124649348 | NPPES |
| Other | 16788 | INDUSTRIAL |
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