Leary, Mary Ann

Leary, Mary Ann is an individual health care provider with primary practice located at 3301 Ridge Pike , Eagleville PA 19403-1411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leary, Mary Ann can be contacted via phone (610) 539-9100.

Contact Information

Primary practice address
3301 Ridge Pike Eagleville PA 19403-1411
Fax: (610) 539-6570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS008302L Pennsylvania

Profile Details

NPI number 1104810860
LBN Legal business name Leary, Mary Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 25th, 2008 - about 16 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 1104810860 NPPES
Pennsylvania MEDICAID 0015040010005

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