Dinnan, Mary A
Dinnan, Mary A is an individual health care provider with primary practice located at 1338 E Ridge Rd Suite 101, Rochester NY 14621-2018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dinnan, Mary A can be contacted via phone (585) 922-7140.Contact Information
Primary practice address
1338 E Ridge Rd Suite 101
Rochester NY 14621-2018
Phone: (585) 922-7140
Fax: (585) 336-9029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000557 | New York |
Profile Details
| NPI number | 1194792960 |
|---|---|
| LBN Legal business name | Dinnan, Mary A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 6th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194792960 | NPPES |
| New York | MEDICAID | 01954145 |
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