Lundy, Mary E

Lundy, Mary E is an sole proprietor health care provider with primary practice located at 204 College Dr N , Devils Lake ND 58301-2925. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lundy, Mary E can be contacted via phone (701) 662-5874.

Contact Information

Primary practice address
204 College Dr N Devils Lake ND 58301-2925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1209 North Dakota

Profile Details

NPI number 1477626117
LBN Legal business name Lundy, Mary E
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 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 1477626117 NPPES
North Dakota MEDICAID 52224

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