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Contact Information

JENNIFER MATHIS, MD
1400 E DOWNING ST
TAHLEQUAH, OK74464-3324
 Phone: 918-456-0641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER MATHIS · (Female)

NPI # 1548304892
Status Active
Credentials MD
Entity Individual
Enumeration date 02/19/2007
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • AZ License # 54065
  • OK License # 25428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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