Hollis, Mary N

Hollis, Mary N is an individual health care provider with primary practice located at 715 W Jackson St , Petersburg IL 62675-1436. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Hollis, Mary N can be contacted via phone (217) 632-7344.

Contact Information

Primary practice address
715 W Jackson St Petersburg IL 62675-1436
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X Illinois

Profile Details

NPI number 1932317799
LBN Legal business name Hollis, Mary N
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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