Radimer, Mary C
Radimer, Mary C is an sole proprietor health care provider with primary practice located at 1463 State Route 30 , Tupper Lake NY 12986-2312. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Radimer, Mary C can be contacted via phone (518) 359-2159.Contact Information
Primary practice address
1463 State Route 30
Tupper Lake NY 12986-2312
Phone: (518) 359-2159
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 371722-1 | New York |
Profile Details
| NPI number | 1497969612 |
|---|---|
| LBN Legal business name | Radimer, Mary C |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1497969612 | NPPES |
| New York | Other | 01284743 | PRIVATE DUTY NURSE |
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