Reid, Mary Alice M
Reid, Mary Alice M is an individual health care provider with primary practice located at 1627 E Bristol St , Elkhart IN 46514-3817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reid, Mary Alice M can be contacted via phone (574) 262-0313.Contact Information
Primary practice address
1627 E Bristol St
Elkhart IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 262-8163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01044674 | Indiana |
Profile Details
| NPI number | 1770574675 |
|---|---|
| LBN Legal business name | Reid, Mary Alice M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Apr 28th, 2023 - about 2 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 | 1770574675 | NPPES |
| Indiana | MEDICAID | 200076800 |
Popular Providers
-
Chang, Su Choo
1627 E Bristol St , Elkhart IN 46514-3817 -
Kisor, Emily Marie
1627 E Bristol St , Elkhart IN 46514-3817 -
Blunk, Mabel A.
1627 E Bristol St , Elkhart IN 46514-3817 -
Morgan, Sandra H.
1627 E Bristol St , Elkhart IN 46514-3817 -
Okhovat-Ghahfarokhi, Shahir
1627 E Bristol St , Elkhart IN 46514-3817 -
Dhaemers, Jared Ray
1627 E Bristol St , Elkhart IN 46514-3817 -
Farrell, Erin Ann
236 Simpson Ave , Elkhart IN 46516-4671 -
Lapadat, Andrew G.
1627 E Bristol St , Elkhart IN 46514-3817