Deleon, Mary Jeanne
Deleon, Mary Jeanne is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Deleon, Mary Jeanne can be contacted via phone (509) 663-8711.Contact Information
Primary practice address
820 N Chelan Ave
Wenatchee WA 98801-2028
Phone: (509) 663-8711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD60784399 | Washington |
Profile Details
NPI number | 1184692006 |
---|---|
LBN Legal business name | Deleon, Mary Jeanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Apr 28th, 2020 - about 5 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 | 1184692006 | NPPES |
Washington | Other | G8971577 | WVH PTAN |
Washington | MEDICAID | 1184692006 | WVH PTAN |
Washington | Other | G8971576 | WVH PTAN |
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