Page, Mary Willis

Page, Mary Willis is an sole proprietor health care provider with primary practice located at 165 Mahaley Ave , Salisbury NC 28144-2448. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Page, Mary Willis can be contacted via phone (704) 213-1099.

Contact Information

Primary practice address
165 Mahaley Ave Salisbury NC 28144-2448
Phone: (704) 213-1099
Fax: (704) 919-5381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1246 North Carolina

Profile Details

NPI number 1487694303
LBN Legal business name Page, Mary Willis
Credentials MA LPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Mar 21st, 2021 - about 3 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 1487694303 NPPES
North Carolina MEDICAID 6107050
North Carolina Other 046G7

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