Ireland, Mary L

Ireland, Mary L is an sole proprietor health care provider with primary practice located at 2195 Harrodsburg Rd Ste 125 , Lexington KY 40504-3543. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Ireland, Mary L can be contacted via phone (859) 218-3064.

Contact Information

Primary practice address
2195 Harrodsburg Rd Ste 125 Lexington KY 40504-3543
Fax: (859) 257-8696
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24323 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 24323 Kentucky

Profile Details

NPI number 1427072883
LBN Legal business name Ireland, Mary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jan 29th, 2024 - about last year

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 1427072883 NPPES
Kentucky Other 000000048615 ANTHEM BCBS
Kentucky Other 25001766 ANTHEM BCBS
Kentucky Other 4341027 ANTHEM BCBS
Kentucky MEDICAID 65939795 ANTHEM BCBS

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