Carter, Mary M
Carter, Mary M is an sole proprietor health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Carter, Mary M can be contacted via phone (817) 294-7444.Contact Information
Primary practice address
1301 Pennsylvania Ave
Fort Worth TX 76104-2122
Phone: (817) 294-7444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | SA00165 | Texas |
Profile Details
| NPI number | 1760566582 |
|---|---|
| LBN Legal business name | Carter, Mary M |
| Credentials | LSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760566582 | NPPES |
| Texas | Other | 0005LF | BCBS |
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