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
Phone: (610) 539-9100
Fax: (610) 539-6570
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104810860 | NPPES |
Pennsylvania | MEDICAID | 0015040010005 |
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