Iaccarino, Mary Alexis

Iaccarino, Mary Alexis is an individual health care provider with primary practice located at 1215 Lee St Box 800793, Charlottesville VA 22908-0816. 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 / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Iaccarino, Mary Alexis can be contacted via phone (434) 924-5118.

Contact Information

Primary practice address
1215 Lee St Box 800793 Charlottesville VA 22908-0816
Phone: (434) 924-5118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 251264 Massachusetts

Profile Details

NPI number 1548559123
LBN Legal business name Iaccarino, Mary Alexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Jan 22nd, 2013 - about 11 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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