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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1033392717 NPPES
North Carolina MEDICAID 1033392717

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