Good, Mary Ellen

Good, Mary Ellen is an individual health care provider with primary practice located at 2615 Fort Amanda Rd , Lima OH 45804-3730. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Good, Mary Ellen can be contacted via phone (419) 225-7301.

Contact Information

Primary practice address
2615 Fort Amanda Rd Lima OH 45804-3730
Phone: (419) 225-7301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN-093700 /NS04317 Ohio

Profile Details

NPI number 1417982612
LBN Legal business name Good, Mary Ellen
Credentials N.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1417982612 NPPES
Ohio Other 000000200685 ANTHEM BLUE CROSS

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