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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1518559566 NPPES
Maryland Other R200895 MARYLAND BOARD OF NURSING
Maryland Other U02794 MARYLAND BOARD OF NURSING

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