Lockwood, Mary Joan

Lockwood, Mary Joan is an individual health care provider with primary practice located at 2 Coulter Rd , Clifton Springs NY 14432-1122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lockwood, Mary Joan can be contacted via phone (315) 462-6500.

Contact Information

Primary practice address
2 Coulter Rd Clifton Springs NY 14432-1122
Phone: (315) 462-6500
Fax: (315) 462-6731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 300840 New York

Profile Details

NPI number 1689635575
LBN Legal business name Lockwood, Mary Joan
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Mar 8th, 2012 - about 12 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 1689635575 NPPES
New York Other 109711BJ PREFERRED CARE
New York MEDICAID 01499141 PREFERRED CARE
New York Other 019300840 PREFERRED CARE

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