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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1467447110 | NPPES |
| Idaho | MEDICAID | 807254800 |
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