Raftery, Mary

Raftery, Mary is an individual health care provider with primary practice located at 30200 Telegraph Rd Suite 220, Bingham Farms MI 48025-4502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Raftery, Mary can be contacted via phone (248) 258-5058.

Contact Information

Primary practice address
30200 Telegraph Rd Suite 220 Bingham Farms MI 48025-4502
Phone: (248) 258-5058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4704193821 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704193821 Michigan

Profile Details

NPI number 1982661328
LBN Legal business name Raftery, Mary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 28th, 2012 - about 12 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 1982661328 NPPES
Michigan MEDICAID 104566287

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