Schaefer, Mary Alice
Schaefer, Mary Alice is an sole proprietor health care provider with primary practice located at 7961 Van Zyverden Rd , Meridian MS 39305-9124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Schaefer, Mary Alice can be contacted via phone (256) 509-0590.Contact Information
Primary practice address
7961 Van Zyverden Rd
Meridian MS 39305-9124
Phone: (256) 509-0590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | DO451 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 340070405 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MS19178 | Mississippi |
Profile Details
| NPI number | 1154535375 |
|---|---|
| LBN Legal business name | Schaefer, Mary Alice |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | May 21st, 2019 - about 7 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 | 1154535375 | NPPES |
| Mississippi | Other | 1154535375 | NPI |
| Mississippi | MEDICAID | 06389899 | NPI |
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