Larew, Mary S
Larew, Mary S is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Larew, Mary S can be contacted via phone (319) 384-9506.Contact Information
Primary practice address
200 Hawkins Dr
Iowa City IA 52242-1009
Phone: (319) 384-9506
Fax: (319) 384-7899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 21717 | Iowa |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 21717 | Iowa |
Profile Details
| NPI number | 1376539601 |
|---|---|
| LBN Legal business name | Larew, Mary S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Sep 27th, 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 | 1376539601 | NPPES |
| Iowa | Other | 56181 | WELLMARK BCBS |
| Iowa | MEDICAID | 1207217 | WELLMARK BCBS |
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