Feth, Mary H
Feth, Mary H is an sole proprietor health care provider with primary practice located at 320 Jefferson St , Washington MO 63090-2634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Feth, Mary H can be contacted via phone (636) 432-1560.Contact Information
Primary practice address
320 Jefferson St
Washington MO 63090-2634
Phone: (636) 432-1560
Fax: (636) 432-1563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD106702 | Missouri |
Profile Details
| NPI number | 1497751960 |
|---|---|
| LBN Legal business name | Feth, Mary H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Feb 28th, 2013 - about 11 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 | 1497751960 | NPPES |
| Missouri | MEDICAID | 207801309 |
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