Mckee, Mary Jane

Mckee, Mary Jane is an individual health care provider with primary practice located at 8911 Liberty Mills Rd , Fort Wayne IN 46804-6311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mckee, Mary Jane can be contacted via phone (260) 373-9465.

Contact Information

Primary practice address
8911 Liberty Mills Rd Fort Wayne IN 46804-6311
Phone: (260) 373-9465
Fax: (260) 266-9406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000469A Indiana

Profile Details

NPI number 1902808785
LBN Legal business name Mckee, Mary Jane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 27th, 2023 - about last year

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 1902808785 NPPES
Indiana Other 970023100 RR MEDICARE

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