Maria, Josette

Maria, Josette is an sole proprietor health care provider with primary practice located at 800 Susan Tart Rd , Dunn NC 28334-5506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Maria, Josette can be contacted via phone (910) 892-8892.

Contact Information

Primary practice address
800 Susan Tart Rd Dunn NC 28334-5506
Fax: (910) 892-1063
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200100412 North Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 200100412 North Carolina

Profile Details

NPI number 1629076690
LBN Legal business name Maria, Josette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Aug 14th, 2021 - about 4 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 1629076690 NPPES
North Carolina MEDICAID 891281E
North Carolina Other 1281E

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