Bisone, Mary Lynne
Bisone, Mary Lynne is an sole proprietor health care provider with primary practice located at 4630 17Th St , Sarasota FL 34235-1843. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Agencies / Early Intervention Provider Agency, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bisone, Mary Lynne can be contacted via phone (941) 487-5400.Contact Information
Primary practice address
4630 17Th St
Sarasota FL 34235-1843
Phone: (941) 487-5400
Fax: (941) 487-5430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | PT32625 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 08351-1 | New York |
| Agencies / Early Intervention Provider Agency | 252Y00000X | PT32625 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT32625 | Florida |
Profile Details
| NPI number | 1700041480 |
|---|---|
| LBN Legal business name | Bisone, Mary Lynne |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Oct 2nd, 2018 - about 6 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 | 1700041480 | NPPES |
| New York | Other | 1982739819 | PROVIDER NUMBER |
| New York | MEDICAID | 021882200 | PROVIDER NUMBER |
| New York | MEDICAID | 022608000 | PROVIDER NUMBER |
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