Dimarsico, Mary Ann
Dimarsico, Mary Ann is an individual health care provider with primary practice located at 1109 W Clay Rd , Versailles MO 65084-1177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dimarsico, Mary Ann can be contacted via phone (877) 733-5824.Contact Information
Primary practice address
1109 W Clay Rd
Versailles MO 65084-1177
Phone: (877) 733-5824
Fax: (888) 979-8868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R2F10 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DOR2F10 | Missouri |
Profile Details
| NPI number | 1013982818 |
|---|---|
| LBN Legal business name | Dimarsico, Mary Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 26th, 2020 - about 4 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 | 1013982818 | NPPES |
| Other | 010053837 | RR MEDICARE | |
| MEDICAID | 242215747 | RR MEDICARE | |
| Other | 213038 | RR MEDICARE | |
| Other | 16847 | RR MEDICARE | |
| Other | 876821 | RR MEDICARE |
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