Metrick, Mary Jo
Metrick, Mary Jo is an sole proprietor health care provider with primary practice located at 571 S Floyd St Ste 342, Louisville KY 40202-3818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Metrick, Mary Jo can be contacted via phone (502) 852-8470.Contact Information
Primary practice address
571 S Floyd St Ste 342
Louisville KY 40202-3818
Phone: (502) 852-8470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 1040956 | Kentucky |
Profile Details
| NPI number | 1730120429 |
|---|---|
| LBN Legal business name | Metrick, Mary Jo |
| Credentials | ARNP MSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Mar 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730120429 | NPPES |
| Kentucky | MEDICAID | 78007366 |
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