Fraley, Mary G
Fraley, Mary G is an sole proprietor health care provider with primary practice located at 901 N Pine St Suite 101, Rolla MO 65401-3141. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fraley, Mary G can be contacted via phone (573) 426-2588.Contact Information
Primary practice address
901 N Pine St Suite 101
Rolla MO 65401-3141
Phone: (573) 426-2588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2007012269 | Missouri |
Profile Details
| NPI number | 1548475684 |
|---|---|
| LBN Legal business name | Fraley, Mary G |
| Credentials | PLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1548475684 | NPPES |
| Missouri | Other | 2007012269 | PROV LICENSE PROF COUNSEL |
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