Hately, Mari C

Hately, Mari C is an individual health care provider with primary practice located at 4320 Diplomacy Dr , Anchorage AK 99508-5925. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Hately, Mari C can be contacted via phone (907) 729-8624.

Contact Information

Primary practice address
4320 Diplomacy Dr Anchorage AK 99508-5925
Phone: (907) 729-8624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MR0833 Idaho
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5518 Alaska

Profile Details

NPI number 1467447110
LBN Legal business name Hately, Mari C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 18th, 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 1467447110 NPPES
Idaho MEDICAID 807254800

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