Menz, Mary

Menz, Mary is an individual health care provider with primary practice located at 180 Rainbow Lake Rd , Sikeston MO 63801-8752. She recently has only one registered license in Nursing Service Providers / Maternal Newborn, which is considered as her primary health care specialty. Menz, Mary can be contacted via phone (573) 258-2886.

Contact Information

Primary practice address
180 Rainbow Lake Rd Sikeston MO 63801-8752
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 2018021926 Missouri

Profile Details

NPI number 1760115257
LBN Legal business name Menz, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2022
Last updated Jul 3rd, 2022 - about 2 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 1760115257 NPPES
Missouri MEDICAID 66383640

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