Glick, Mary Christina
Glick, Mary Christina is an sole proprietor health care provider with primary practice located at 435 Katherine Drive Suite B, Flowood MS 39232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Glick, Mary Christina can be contacted via phone (601) 932-6455.Contact Information
Primary practice address
435 Katherine Drive Suite B
Flowood MS 39232
Phone: (601) 932-6455
Fax: (601) 981-7935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 09307 | Mississippi |
Profile Details
| NPI number | 1457450058 |
|---|---|
| LBN Legal business name | Glick, Mary Christina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Feb 8th, 2017 - 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 | 1457450058 | NPPES |
| Mississippi | MEDICAID | 0014803 | |
| Mississippi | MEDICAID | 03521709 |
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