Schrader, Marietta
Schrader, Marietta is an individual health care provider with primary practice located at 702 Davison Rd , Lockport NY 14094-5371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Schrader, Marietta can be contacted via phone (716) 514-9355.Contact Information
Primary practice address
702 Davison Rd
Lockport NY 14094-5371
Phone: (716) 514-9355
Fax: (716) 201-1630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F303221 | New York |
Profile Details
| NPI number | 1265517239 |
|---|---|
| LBN Legal business name | Schrader, Marietta |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Aug 22nd, 2013 - about 13 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 | 1265517239 | NPPES |
| New York | MEDICAID | 01000215 |
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