National Provider Identifier Database

MICHAEL O MATHIS JR, SURFACE FORCE IDC – NPI #1659612927
Military General Acute Care Hospital. Operational (Transportable)

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?non-fixed? or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. ?Non-fixed? facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. ?Non-fixed? facilities include hospital ships.


Contact Information

MICHAEL O MATHIS JR, SURFACE FORCE IDC
USS TRUXTUN
DDG 103
FPO, AE09588-1309
Phone: 757-445-6164
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital. Operational (Transportable) 2865X1600X

* Indicates primary specialty

NPI Profile & details for MICHAEL O MATHIS JR

NPI Number 1659612927
Credentials SURFACE FORCE IDC
Entity Individual
Enumeration date 03/11/2013
Last updated 03/11/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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