Ingram, Mary Brooks
Ingram, Mary Brooks is an individual health care provider with primary practice located at 10301 Grand Central Ave Apt 205 , Owings Mills MD 21117-4067. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Ingram, Mary Brooks can be contacted via phone (410) 905-9659.Contact Information
Primary practice address
10301 Grand Central Ave Apt 205
Owings Mills MD 21117-4067
Phone: (410) 905-9659
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | R200895 | Maryland |
Other Service Providers / Acupuncturist | 171100000X | U02794 | Maryland |
Profile Details
NPI number | 1518559566 |
---|---|
LBN Legal business name | Ingram, Mary Brooks |
Credentials | RN, LAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2021 |
Last updated | Feb 10th, 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 | 1518559566 | NPPES |
Maryland | Other | R200895 | MARYLAND BOARD OF NURSING |
Maryland | Other | U02794 | MARYLAND BOARD OF NURSING |
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