Eldridge, Mary
Eldridge, Mary is an sole proprietor health care provider with primary practice located at 1067 Derby Dr , Sun Prairie WI 53590-2457. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eldridge, Mary can be contacted via phone (281) 635-9996.Contact Information
Primary practice address
1067 Derby Dr
Sun Prairie WI 53590-2457
Phone: (281) 635-9996
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9589-123 | Wisconsin |
Profile Details
| NPI number | 1710647227 |
|---|---|
| LBN Legal business name | Eldridge, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2021 |
| Last updated | Dec 29th, 2021 - 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.
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