Bickmann, Mary Kay
Bickmann, Mary Kay is an individual health care provider with primary practice located at 44045 Riverside Pkwy , Leesburg VA 20176-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bickmann, Mary Kay can be contacted via phone (703) 858-6000.Contact Information
Primary practice address
44045 Riverside Pkwy
Leesburg VA 20176-5101
Phone: (703) 858-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704153665 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024170746 | Virginia |
Profile Details
NPI number | 1366418394 |
---|---|
LBN Legal business name | Bickmann, Mary Kay |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Dec 5th, 2013 - about 11 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 | 1366418394 | NPPES |
Michigan | Other | 430F373940 | BCBSM |
Michigan | MEDICAID | 3284918 | BCBSM |
Michigan | MEDICAID | 1366418394 | BCBSM |
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