Beres, Mary-Emma
Beres, Mary-Emma is an sole proprietor health care provider with primary practice located at 600 Chatham Medical Park , Elkin NC 28621-2482. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Beres, Mary-Emma can be contacted via phone (336) 835-4819.Contact Information
Primary practice address
600 Chatham Medical Park
Elkin NC 28621-2482
Phone: (336) 835-4819
Fax: (336) 835-8207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 0101057835 | Virginia |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 9800784 | North Carolina |
Profile Details
| NPI number | 1295715704 |
|---|---|
| LBN Legal business name | Beres, Mary-Emma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Dec 21st, 2021 - about 3 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 | 1295715704 | NPPES |
| Virginia | MEDICAID | 005610681 | |
| Virginia | MEDICAID | 690573G |
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