Guinan, Mary G

Guinan, Mary G is an individual health care provider with primary practice located at 388 West Center St , Manchester CT 06040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Guinan, Mary G can be contacted via phone (860) 649-1120.

Contact Information

Primary practice address
388 West Center St Manchester CT 06040
Fax: (860) 645-8541
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000227 Connecticut

Profile Details

NPI number 1588768709
LBN Legal business name Guinan, Mary G
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Feb 29th, 2012 - about 12 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 1588768709 NPPES
Connecticut MEDICAID 004224309

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