Ray, Mary Jo

Ray, Mary Jo is an individual health care provider with primary practice located at 400 N 17Th St , Keokuk IA 52632-3452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ray, Mary Jo can be contacted via phone (319) 524-5734.

Contact Information

Primary practice address
400 N 17Th St Keokuk IA 52632-3452
Phone: (319) 524-5734
Fax: (319) 524-5758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C076938 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 041-138505 Illinois

Profile Details

NPI number 1396748901
LBN Legal business name Ray, Mary Jo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 20th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396748901 NPPES
Missouri MEDICAID 429203201
Missouri Other 421527584
Missouri Other 42152758405
Missouri MEDICAID 421527584003
Missouri Other 33627
Missouri MEDICAID O278374

Popular Providers