Daggett, Mary Loring
Daggett, Mary Loring is an individual health care provider with primary practice located at Bikini Atoll Road Ms D421 , Los Alamos NM 87545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Daggett, Mary Loring can be contacted via phone (505) 665-2631.Contact Information
Primary practice address
Bikini Atoll Road Ms D421
Los Alamos NM 87545
Phone: (505) 665-2631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 95-PA30 | New Mexico |
Profile Details
| NPI number | 1265551469 |
|---|---|
| LBN Legal business name | Daggett, Mary Loring |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 9th, 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 | 1265551469 | NPPES |
| New Mexico | MEDICAID | K3602 |
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