Martin, Mary Anne
Martin, Mary Anne is an sole proprietor health care provider with primary practice located at 454 N University Dr , Rockford IL 61107-5323. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Martin, Mary Anne can be contacted via phone (779) 772-5817.Contact Information
Primary practice address
454 N University Dr
Rockford IL 61107-5323
Phone: (779) 772-5817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 316426 | Wisconsin |
Profile Details
| NPI number | 1891109070 |
|---|---|
| LBN Legal business name | Martin, Mary Anne |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2014 |
| Last updated | Jun 16th, 2014 - about 10 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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