Bischof, Mary

Bischof, Mary is an sole proprietor health care provider with primary practice located at 6 Kettle Knoll Path , Miller Place NY 11764-2113. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bischof, Mary can be contacted via phone (631) 828-8676.

Contact Information

Primary practice address
6 Kettle Knoll Path Miller Place NY 11764-2113
Phone: (631) 828-8676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 253674-1 New York

Profile Details

NPI number 1962698688
LBN Legal business name Bischof, Mary
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2007
Last updated Sep 17th, 2007 - about 17 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 1962698688 NPPES
New York MEDICAID 01859750

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