Mccomis, Mary
Mccomis, Mary is an individual health care provider with primary practice located at 721 American Ave, Ste 304 , Waukesha WI 53188. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccomis, Mary can be contacted via phone (262) 549-2229.Contact Information
Primary practice address
721 American Ave, Ste 304
Waukesha WI 53188
Phone: (262) 549-2229
Fax: (262) 549-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 34707 | Wisconsin |
Profile Details
| NPI number | 1104890722 |
|---|---|
| LBN Legal business name | Mccomis, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Dec 5th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104890722 | NPPES |
| Wisconsin | MEDICAID | 31961200 |
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