Lanphear, Mary Jo
Lanphear, Mary Jo is an sole proprietor health care provider with primary practice located at 1837 Pulaski Hwy , Edgewood MD 21040-1609. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Lanphear, Mary Jo can be contacted via phone (410) 612-1657.Contact Information
Primary practice address
1837 Pulaski Hwy
Edgewood MD 21040-1609
Phone: (410) 612-1657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | R096598 | Maryland |
Profile Details
| NPI number | 1114041258 |
|---|---|
| LBN Legal business name | Lanphear, Mary Jo |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114041258 | NPPES |
| Maryland | Other | R096589 | NURSING LICENSE |
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