Scamardo, Mary C

Scamardo, Mary C is an individual health care provider with primary practice located at 3640 N Briarwood Ln , Muncie IN 47304-6375. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Scamardo, Mary C can be contacted via phone (463) 777-5770.

Contact Information

Primary practice address
3640 N Briarwood Ln Muncie IN 47304-6375
Fax: (765) 288-6520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 01041417 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01041417 Indiana

Profile Details

NPI number 1518901230
LBN Legal business name Scamardo, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 5th, 2023 - about last year

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 1518901230 NPPES
Indiana Other 000000231048 ANTHEM
Indiana Other 080191954 ANTHEM

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