Engelstatter, Mary

Engelstatter, Mary is an individual health care provider with primary practice located at 1703 Country Club Road Suite 204, Jacksonville NC 28546. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Engelstatter, Mary can be contacted via phone (910) 347-3010.

Contact Information

Primary practice address
1703 Country Club Road Suite 204 Jacksonville NC 28546
Phone: (910) 347-3010
Fax: (910) 347-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2551 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4748 North Carolina

Profile Details

NPI number 1740266220
LBN Legal business name Engelstatter, Mary
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Apr 13th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740266220 NPPES
North Carolina Other 046UR BC/BS

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