Hine, Mary E

Hine, Mary E is an individual health care provider with primary practice located at 7967 Broadway , Lemon Grove CA 91945-1809. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Hine, Mary E can be contacted via phone (619) 741-7423.

Contact Information

Primary practice address
7967 Broadway Lemon Grove CA 91945-1809
Phone: (619) 741-7423
Fax: (619) 713-2589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G53481 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G53481 California

Profile Details

NPI number 1962621599
LBN Legal business name Hine, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jan 4th, 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 1962621599 NPPES
California MEDICAID G53481

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