Dutchover, Mary

Dutchover, Mary is an sole proprietor health care provider with primary practice located at 910 James Bowie Dr , New Boston TX 75570-2335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dutchover, Mary can be contacted via phone (903) 614-5950.

Contact Information

Primary practice address
910 James Bowie Dr New Boston TX 75570-2335
Phone: (903) 614-5950
Fax: (903) 614-5950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP125894 Texas

Profile Details

NPI number 1154730166
LBN Legal business name Dutchover, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2014
Last updated Jul 10th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1154730166 NPPES
Oklahoma MEDICAID 200616050A
Oklahoma MEDICAID 350226201

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