Padusi, Mary Ellen
Padusi, Mary Ellen is an sole proprietor health care provider with primary practice located at 4134 E Joppa Rd Suite 101, Nottingham MD 21236-2284. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Padusi, Mary Ellen can be contacted via phone (410) 256-1006.Contact Information
Primary practice address
4134 E Joppa Rd Suite 101
Nottingham MD 21236-2284
Phone: (410) 256-1006
Fax: (410) 256-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA0922 | Maryland |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | TA0922 | Maryland |
Profile Details
| NPI number | 1144310418 |
|---|---|
| LBN Legal business name | Padusi, Mary Ellen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Oct 21st, 2008 - about 16 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 | 1144310418 | NPPES |
| Maryland | Other | 613064-03 | CAREFIRST-BLUE CROSS BLUE SHIELD |
| Maryland | Other | 210360-121 | CAREFIRST-BLUE CROSS BLUE SHIELD |
| Maryland | Other | 50070 | CAREFIRST-BLUE CROSS BLUE SHIELD |
| Maryland | Other | 613064-02 | CAREFIRST-BLUE CROSS BLUE SHIELD |
| Maryland | Other | 940691 | CAREFIRST-BLUE CROSS BLUE SHIELD |
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