Mahle, Marjorie Ann

Mahle, Marjorie Ann is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mahle, Marjorie Ann can be contacted via phone (937) 298-4331.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA09531NP Ohio

Profile Details

NPI number 1205980653
LBN Legal business name Mahle, Marjorie Ann
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 17th, 2018 - about 6 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 1205980653 NPPES
Ohio MEDICAID 2794767

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