Hamilton, Mary Boland
Hamilton, Mary Boland is an individual health care provider with primary practice located at 80 Humphreys Suite 230 , Memphis TN 38117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hamilton, Mary Boland can be contacted via phone (901) 259-2440.Contact Information
Primary practice address
80 Humphreys Suite 230
Memphis TN 38117
Phone: (901) 259-2440
Fax: (225) 767-6721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1043445380 |
|---|---|
| LBN Legal business name | Hamilton, Mary Boland |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2009 |
| Last updated | Feb 5th, 2019 - about 5 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 | 1043445380 | NPPES |
| Louisiana | Other | 657 | 710916908 |
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