Innis, Mary R
Innis, Mary R is an individual health care provider with primary practice located at 100 Century Dr , Worcester MA 01606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Innis, Mary R can be contacted via phone (508) 762-5400.Contact Information
Primary practice address
100 Century Dr
Worcester MA 01606
Phone: (508) 762-5400
Fax: (508) 762-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 167110 | Massachusetts |
Profile Details
| NPI number | 1053366963 |
|---|---|
| LBN Legal business name | Innis, Mary R |
| Credentials | RN PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Nov 24th, 2020 - 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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