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Contact Information

JONATHAN MATHIS, MD
100 JACKSON PIKE
GALLIPOLIS, OH45631
 Phone: 855-446-5937
 Fax: 740-446-5711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN MATHIS · (Male)

NPI # 1063890200
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2015
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35.133539
  • SC License # LL38060
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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