Dovale, Mary Jo
Dovale, Mary Jo is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Dovale, Mary Jo can be contacted via phone (254) 724-2111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 525206 | Texas |
Profile Details
| NPI number | 1629030556 |
|---|---|
| LBN Legal business name | Dovale, Mary Jo |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 11th, 2007 - about 17 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 | 1629030556 | NPPES |
| Texas | MEDICAID | 0961724-03 | |
| Texas | Other | 8N8998 |
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