Fuentes, Mary L

Fuentes, Mary L is an sole proprietor health care provider with primary practice located at 9636 Kelly Dr , Loveland OH 45140-5629. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fuentes, Mary L can be contacted via phone (513) 617-8859.

Contact Information

Primary practice address
9636 Kelly Dr Loveland OH 45140-5629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1437532215 Ohio

Profile Details

NPI number 1659089100
LBN Legal business name Fuentes, Mary L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated Nov 14th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659089100 NPPES
Ohio MEDICAID 0191382

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