Degeneffe, Mary T

Degeneffe, Mary T is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Degeneffe, Mary T can be contacted via phone (574) 647-7141.

Contact Information

Primary practice address
615 N Michigan St South Bend IN 46601-1033
Phone: (574) 647-7141
Fax: (574) 647-7248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01042506 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301084504 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036086895 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01042506 Indiana

Profile Details

NPI number 1700841640
LBN Legal business name Degeneffe, Mary T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 29th, 2008 - about 16 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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