Baldwin, Mary A.

Baldwin, Mary A. is an individual health care provider with primary practice located at 1515 Chain Bridge Rd Ste 104 , Mc Lean VA 22101-4421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Baldwin, Mary A. can be contacted via phone (703) 356-7801.

Contact Information

Primary practice address
1515 Chain Bridge Rd Ste 104 Mc Lean VA 22101-4421
Phone: (703) 356-7801
Fax: (703) 356-7814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004550 Virginia

Profile Details

NPI number 1003097304
LBN Legal business name Baldwin, Mary A.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Jan 16th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003097304 NPPES
Virginia Other J684-0004 BCBS

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