Individual
DR. CHAD E MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 550, LOUISVILLE, KY 40202-5705
(502) 588-0424
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27369
AL
207X00000X
Orthopaedic Surgery Physician
Primary
37334
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126925
—
AL
Enumeration date
08/19/2005
Last updated
05/02/2024
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