Baysdon, Mary L
Baysdon, Mary L is an sole proprietor health care provider with primary practice located at 480 E 9Th St , Lumberton NC 28358-4880. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Baysdon, Mary L can be contacted via phone (910) 272-9900.Contact Information
Primary practice address
480 E 9Th St
Lumberton NC 28358-4880
Phone: (910) 272-9900
Fax: (910) 671-1983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | CFOM0662 | North Carolina |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | CFTS0275 | North Carolina |
Profile Details
| NPI number | 1033392717 |
|---|---|
| LBN Legal business name | Baysdon, Mary L |
| Credentials | CFOM CFTS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2007 |
| Last updated | May 2nd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033392717 | NPPES |
| North Carolina | MEDICAID | 1033392717 |
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