Changoway, Mary Eileen

Changoway, Mary Eileen is an sole proprietor health care provider with primary practice located at 1000 S Mercer St , New Castle PA 16101-4672. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Changoway, Mary Eileen can be contacted via phone (724) 658-4688.

Contact Information

Primary practice address
1000 S Mercer St New Castle PA 16101-4672
Phone: (724) 658-4688
Fax: (724) 658-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN217996L Pennsylvania

Profile Details

NPI number 1275865552
LBN Legal business name Changoway, Mary Eileen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2010
Last updated Feb 11th, 2010 - about 14 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 1275865552 NPPES
Pennsylvania MEDICAID 1016550810001

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