Schad, Mary Jean

Schad, Mary Jean is an sole proprietor health care provider with primary practice located at 225 N Jackson St , Belleville IL 62220-1308. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Schad, Mary Jean can be contacted via phone (618) 233-6405.

Contact Information

Primary practice address
225 N Jackson St Belleville IL 62220-1308
Phone: (618) 233-6405
Fax: (618) 233-6424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19-18650 Illinois

Profile Details

NPI number 1295807097
LBN Legal business name Schad, Mary Jean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1295807097 NPPES
Illinois Other 19-18650 ILLINOIS STATE LICENSE

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