Hostetler, Mary Kay
Hostetler, Mary Kay is an sole proprietor health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Hostetler, Mary Kay can be contacted via phone (252) 847-4113.Contact Information
Primary practice address
2100 Stantonsburg Rd
Greenville NC 27834-2818
Phone: (252) 847-4113
Fax: (252) 847-9946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 137721 | North Carolina |
Profile Details
| NPI number | 1073663506 |
|---|---|
| LBN Legal business name | Hostetler, Mary Kay |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073663506 | NPPES |
| North Carolina | Other | NNP | LICENSE |
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