Losinger, Mary Lou

Losinger, Mary Lou is an individual health care provider with primary practice located at 302 Hoffman St , Elmira NY 14905-2263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Losinger, Mary Lou can be contacted via phone (607) 734-2264.

Contact Information

Primary practice address
302 Hoffman St Elmira NY 14905-2263
Phone: (607) 734-2264
Fax: (607) 767-0340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 330213 New York

Profile Details

NPI number 1043248933
LBN Legal business name Losinger, Mary Lou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043248933 NPPES
Other 161355553 BUSINESS TAX ID
MEDICAID 01267812 BUSINESS TAX ID

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