Panares, Maureen Ann

Panares, Maureen Ann is an individual health care provider with primary practice located at 400 Legacy Plz W , La Porte IN 46350-5296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Panares, Maureen Ann can be contacted via phone (219) 326-1775.

Contact Information

Primary practice address
400 Legacy Plz W La Porte IN 46350-5296
Phone: (219) 326-1775
Fax: (219) 326-1951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001012A Indiana

Profile Details

NPI number 1558461301
LBN Legal business name Panares, Maureen Ann
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 14th, 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 1558461301 NPPES
Indiana MEDICAID 200541620
Indiana MEDICAID 200541620A
Indiana Other 151020024

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