Purtill, Mary Anne

Purtill, Mary Anne is an individual health care provider with primary practice located at 1100 E Michigan Ave Ste 201, Jackson MI 49201-1847. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Purtill, Mary Anne can be contacted via phone (517) 817-7605.

Contact Information

Primary practice address
1100 E Michigan Ave Ste 201 Jackson MI 49201-1847
Phone: (517) 817-7605
Fax: (517) 817-7606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 4301075397 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X G076836 California

Profile Details

NPI number 1831192483
LBN Legal business name Purtill, Mary Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 14th, 2013 - about 11 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 1831192483 NPPES
California Other ZZZP4310Z MEDICARE ID - STANFORD SURGERY DEPT

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