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
Phone: (540) 224-5170
Fax: (540) 983-8229
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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