Ingolia, Mary Priscilla
Ingolia, Mary Priscilla is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ingolia, Mary Priscilla can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
280 Exempla Cir
Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | CO45352 | Colorado |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TL-1312 | Colorado |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0045352 | Colorado |
Profile Details
NPI number | 1003962606 |
---|---|
LBN Legal business name | Ingolia, Mary Priscilla |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2007 |
Last updated | Sep 21st, 2021 - about 3 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 | 1003962606 | NPPES |
Colorado | MEDICAID | 45336831 | |
Colorado | Other | 023263 |
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