Ross, Mary K
Ross, Mary K is an individual health care provider with primary practice located at 325 S 1St Ave , Broken Bow NE 68822-2213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ross, Mary K can be contacted via phone (308) 872-5111.Contact Information
Primary practice address
325 S 1St Ave
Broken Bow NE 68822-2213
Phone: (308) 872-5111
Fax: (308) 872-5115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1511 | Nebraska |
Profile Details
| NPI number | 1760580013 |
|---|---|
| LBN Legal business name | Ross, Mary K |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 21st, 2017 - about 8 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 | 1760580013 | NPPES |
| Nebraska | Other | 39519 | BLUE CROSS BLUE SHIELD |
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