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Contact Information

MARTY E MATHISON, LMP
711 E LINCOLN AVE
SUNNYSIDE, WA98944-2318
 Phone: 509-839-4222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for MARTY E MATHISON · (Male)

NPI # 1659419398
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 02/02/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MA00006441
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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