Osborne, Mary Ann

Osborne, Mary Ann is an individual health care provider with primary practice located at 7810 Providence Rd Suite 105, Charlotte NC 28226-2954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Osborne, Mary Ann can be contacted via phone (704) 446-7800.

Contact Information

Primary practice address
7810 Providence Rd Suite 105 Charlotte NC 28226-2954
Phone: (704) 446-7800
Fax: (704) 541-8727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 800035 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 54582 North Carolina

Profile Details

NPI number 1922033760
LBN Legal business name Osborne, Mary Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 1st, 2014 - about 10 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 1922033760 NPPES
North Carolina MEDICAID 7005107
North Carolina MEDICAID NP2828
North Carolina MEDICAID 1922033760

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