Rosenhauer, Mary

Rosenhauer, Mary is an individual health care provider with primary practice located at 1350 Cedar Ct , Carbondale IL 62901-5336. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rosenhauer, Mary can be contacted via phone (618) 529-2955.

Contact Information

Primary practice address
1350 Cedar Ct Carbondale IL 62901-5336
Phone: (618) 529-2955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-001667 Illinois

Profile Details

NPI number 1679511281
LBN Legal business name Rosenhauer, Mary
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 23rd, 2008 - about 16 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 1679511281 NPPES
Illinois Other 085-001667 STATE LICENSE NUMBER

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