Ford, Mary Johanna

Ford, Mary Johanna is an individual health care provider with primary practice located at 17 E Sir Francis Drake Blvd , Larkspur CA 94939-1727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ford, Mary Johanna can be contacted via phone (415) 526-5631.

Contact Information

Primary practice address
17 E Sir Francis Drake Blvd Larkspur CA 94939-1727
Phone: (415) 526-5631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004594 California

Profile Details

NPI number 1922599802
LBN Legal business name Ford, Mary Johanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2018
Last updated May 25th, 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.

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