Chase, Mary
Chase, Mary is an individual health care provider with primary practice located at 301 N Alexander St , Plant City FL 33563-4303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Chase, Mary can be contacted via phone (352) 867-8898.Contact Information
Primary practice address
301 N Alexander St
Plant City FL 33563-4303
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME62156 | Florida |
Profile Details
NPI number | 1619061900 |
---|---|
LBN Legal business name | Chase, Mary |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 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 | 1619061900 | NPPES |
Florida | Other | 17721 | BLUE CROSS BLUE SHIELD |
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