Hamill, Mary Suzanne

Hamill, Mary Suzanne is an individual health care provider with primary practice located at 300 Main Street , Oak Creek CO 80467-0008. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Hamill, Mary Suzanne can be contacted via phone (970) 736-8118.

Contact Information

Primary practice address
300 Main Street Oak Creek CO 80467-0008
Fax: (970) 736-0678
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 000903051 Colorado

Profile Details

NPI number 1457790453
LBN Legal business name Hamill, Mary Suzanne
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Jun 24th, 2013 - 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 1457790453 NPPES
Colorado MEDICAID 90402260

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