Ditman, Mary Beth
Ditman, Mary Beth is an individual health care provider with primary practice located at 900 N 1St St , Springfield IL 62702-3749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ditman, Mary Beth can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
900 N 1St St
Springfield IL 62702-3749
Phone: (217) 528-7541
Fax: (217) 525-0121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-000728 | Illinois |
Profile Details
| NPI number | 1114920139 |
|---|---|
| LBN Legal business name | Ditman, Mary Beth |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 22nd, 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.
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