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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK MATHIS

Active Sole Proprietor

DERRICK MATHIS is a Community Health Worker healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1093086688 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · PHILADELPHIA, PA

Registration Details

NPI Number
1093086688
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2012 (14.401491508242 yrs)
Last Updated
Jan 13, 2012
Sole Proprietor
Yes

Practice Information

Address
1551 N 29TH ST
SUITE 1
PHILADELPHIA, PA, 191213620
Browse PA providers · Browse ZIP 19121
Phone
2679885613
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Community Health Worker
Additional Specialty
Chore Provider
Additional Specialty
Adult Companion
Additional Specialty
Home Health Aide

Other Community Health Worker Providers in PHILADELPHIA, PA

Name Credential NPI
MR. DANIEL ALBERT LEONARD PHYSICAL THERAPIST 1760659098
DR. BENJAMIN BENDER MD 1275784704
MR. CARLOS M MORALES MITTI B.A. 1740416320
MS. AVA ADAMES 1801129457
DONNA M ALEXANDER 1154691731
MONIQUE JARDEL JAMISON 1861743916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.