Kraemer, Mary S.

Kraemer, Mary S. is an individual health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kraemer, Mary S. can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
3 Riverside Cir Roanoke VA 24016-4955
Fax: (540) 983-8229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101265606 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9701797 North Carolina

Profile Details

NPI number 1336131762
LBN Legal business name Kraemer, Mary S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336131762 NPPES
North Carolina Other 1093H BCBS NC
North Carolina MEDICAID 891093H BCBS NC
North Carolina Other 110163680 BCBS NC

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