Mayo, Reata F

Mayo, Reata F is an individual health care provider with primary practice located at 580 W College Ave , Marquette MI 49855-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mayo, Reata F can be contacted via phone (906) 225-3406.

Contact Information

Primary practice address
580 W College Ave Marquette MI 49855-2705
Phone: (906) 225-3406
Fax: (906) 225-3094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704128421 Michigan

Profile Details

NPI number 1972585792
LBN Legal business name Mayo, Reata F
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 5th, 2020 - about 5 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 1972585792 NPPES
Michigan Other 430024327 RAILROAD MEDICARE PIN
Michigan Other RJ128421 RAILROAD MEDICARE PIN
Michigan MEDICAID 103133127 RAILROAD MEDICARE PIN
Michigan Other 43400500 RAILROAD MEDICARE PIN

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