House, Mary Colleen

House, Mary Colleen is an individual health care provider with primary practice located at 17 Long Avenue Suite 110, Hamburg NY 14075. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. House, Mary Colleen can be contacted via phone (716) 646-5188.

Contact Information

Primary practice address
17 Long Avenue Suite 110 Hamburg NY 14075
Phone: (716) 646-5188
Fax: (716) 646-5190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3331561 New York

Profile Details

NPI number 1215973987
LBN Legal business name House, Mary Colleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1215973987 NPPES
New York Other 000560585002 BLUE CROSS BLUE SHIELD
New York Other 9512110 BLUE CROSS BLUE SHIELD

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