Fontanarosa, Mary Ann
Fontanarosa, Mary Ann is an sole proprietor health care provider with primary practice located at 2600 State Route 5 , Cortland OH 44410-9393. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fontanarosa, Mary Ann can be contacted via phone (330) 372-8800.Contact Information
Primary practice address
2600 State Route 5
Cortland OH 44410-9393
Phone: (330) 372-8800
Fax: (330) 372-8999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35050393 | Ohio |
Profile Details
| NPI number | 1902824188 |
|---|---|
| LBN Legal business name | Fontanarosa, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 2nd, 2018 - about 7 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 | 1902824188 | NPPES |
| Ohio | Other | 000000243195 | ANTHEM BC/BS OHIO |
| Ohio | Other | 000028496 | ANTHEM BC/BS OHIO |
| Ohio | Other | Q004667 | ANTHEM BC/BS OHIO |
| Ohio | Other | 341341025036 | ANTHEM BC/BS OHIO |
| Ohio | Other | 400877 | ANTHEM BC/BS OHIO |
| Ohio | Other | J50393 | ANTHEM BC/BS OHIO |
| Ohio | Other | 78933 | ANTHEM BC/BS OHIO |
| Ohio | MEDICAID | 0631801 | ANTHEM BC/BS OHIO |
| Ohio | Other | 110247884 | ANTHEM BC/BS OHIO |
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