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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831192483 | NPPES |
| California | Other | ZZZP4310Z | MEDICARE ID - STANFORD SURGERY DEPT |
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