King, Mary Jean

King, Mary Jean is an individual health care provider with primary practice located at 3600 Market St Ste 601 , Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. King, Mary Jean can be contacted via phone (267) 940-5512.

Contact Information

Primary practice address
3600 Market St Ste 601 Philadelphia PA 19104
Phone: (267) 940-5512
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1063541191
LBN Legal business name King, Mary Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 22nd, 2019 - about 5 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 1063541191 NPPES
Pennsylvania MEDICAID 01840022

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