Engle, Mary A
Engle, Mary A is an individual health care provider with primary practice located at 271 E Main St , Hazard KY 41701-1939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Engle, Mary A can be contacted via phone (606) 439-1316.Contact Information
Primary practice address
271 E Main St
Hazard KY 41701-1939
Phone: (606) 439-1316
Fax: (606) 435-0752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 707 | Kentucky |
Profile Details
| NPI number | 1023025384 |
|---|---|
| LBN Legal business name | Engle, Mary A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 1st, 2013 - about 12 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 | 1023025384 | NPPES |
| Kentucky | MEDICAID | 95004792 |
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