Fillmore, Mary J

Fillmore, Mary J is an sole proprietor health care provider with primary practice located at 1521 Gull Rd , Kalamazoo MI 49048-1640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fillmore, Mary J can be contacted via phone (269) 226-5074.

Contact Information

Primary practice address
1521 Gull Rd Kalamazoo MI 49048-1640
Phone: (269) 226-5074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209008161 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704224949 Michigan

Profile Details

NPI number 1821316837
LBN Legal business name Fillmore, Mary J
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2010
Last updated Aug 30th, 2023 - 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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