Ross, Mary

Ross, Mary is an individual health care provider with primary practice located at 10825 Old Highway 64 , Bolivar TN 38008-3599. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Ross, Mary can be contacted via phone (731) 658-5291.

Contact Information

Primary practice address
10825 Old Highway 64 Bolivar TN 38008-3599
Phone: (731) 658-5291
Fax: (731) 658-6536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 0000095307 Tennessee

Profile Details

NPI number 1124402698
LBN Legal business name Ross, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated Jul 15th, 2015 - about 10 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 1124402698 NPPES
Tennessee Other 626001445 STATE OF TN

Popular Providers