Engroff, Mary Lynn

Engroff, Mary Lynn is an sole proprietor health care provider with primary practice located at 7595 Lake Worth Rd , Lake Worth FL 33467-2532. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Other Service Providers / Specialist is her primary health care specialty. Engroff, Mary Lynn can be contacted via phone (561) 433-2564.

Contact Information

Primary practice address
7595 Lake Worth Rd Lake Worth FL 33467-2532
Phone: (561) 433-2564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7384 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9102324 Florida

Profile Details

NPI number 1467528240
LBN Legal business name Engroff, Mary Lynn
Credentials P.T., P.A.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2006
Last updated Aug 4th, 2010 - about 14 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 1467528240 NPPES
Florida Other Y5555 BCBS #
Florida Other 7384 BCBS #

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