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
Phone: (463) 777-5770
Fax: (765) 288-6520
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518901230 | NPPES |
Indiana | Other | 000000231048 | ANTHEM |
Indiana | Other | 080191954 | ANTHEM |
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