Dick, Mary Lou

Dick, Mary Lou is an individual health care provider with primary practice located at 4001 John St , Evansville IN 47714-0216. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dick, Mary Lou can be contacted via phone (812) 473-3144.

Contact Information

Primary practice address
4001 John St Evansville IN 47714-0216
Phone: (812) 473-3144
Fax: (812) 422-7558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28057866A Indiana

Profile Details

NPI number 1033386040
LBN Legal business name Dick, Mary Lou
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Mar 22nd, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033386040 NPPES
Indiana MEDICAID 100240880

Popular Providers