Medige, Mary B

Medige, Mary B is an individual health care provider with primary practice located at 21 Dental Squadron/Sgdd 1055 E. Stewart Bldg 2018, Peterson Afb CO 80925. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Medige, Mary B can be contacted via phone (719) 566-1333.

Contact Information

Primary practice address
21 Dental Squadron/Sgdd 1055 E. Stewart Bldg 2018 Peterson Afb CO 80925
Phone: (719) 566-1333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1598372476
LBN Legal business name Medige, Mary B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2020
Last updated Sep 25th, 2020 - 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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