Good, Mary Ann
Good, Mary Ann is an individual health care provider with primary practice located at 2300 N Edward St Suite 3200, Decatur IL 62526-4163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Good, Mary Ann can be contacted via phone (217) 876-3660.Contact Information
Primary practice address
2300 N Edward St Suite 3200
Decatur IL 62526-4163
Phone: (217) 876-3660
Fax: (217) 876-3665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004263 | Illinois |
Profile Details
| NPI number | 1912277005 |
|---|---|
| LBN Legal business name | Good, Mary Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2012 |
| Last updated | Sep 4th, 2014 - about 10 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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