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Contact Information

JEREMY MATHENIA, PA-C
6500 RED HOOK PLZ STE 205
SAINT THOMAS, VI00802-1346
 Phone: 340-775-2303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEREMY MATHENIA · (Male)

NPI Number 1285910059
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/25/2011
Last updated 09/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-004144
  • IL License # 085004144
  • VI License # 105
Hospital affiliation(s)
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
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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