Morey, Mary Jo

Morey, Mary Jo is an individual health care provider with primary practice located at 17501 Generations Dr , South Bend IN 46635-1589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Morey, Mary Jo can be contacted via phone (574) 234-0049.

Contact Information

Primary practice address
17501 Generations Dr South Bend IN 46635-1589
Fax: (574) 234-0053
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001590A Indiana

Profile Details

NPI number 1972500874
LBN Legal business name Morey, Mary Jo
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972500874 NPPES
Indiana MEDICAID 200491240
Indiana MEDICAID 200491240A
Indiana Other 00000849526
Indiana Other P01373877

Popular Providers