Schustek, Mary Elizabeth

Schustek, Mary Elizabeth is an individual health care provider with primary practice located at 67 Masonic Ave Suite 3100, Wallingford CT 06492-3095. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Schustek, Mary Elizabeth can be contacted via phone (203) 284-3144.

Contact Information

Primary practice address
67 Masonic Ave Suite 3100 Wallingford CT 06492-3095
Phone: (203) 284-3144
Fax: (203) 284-3140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2742 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN2742 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 006357 Connecticut

Profile Details

NPI number 1891705307
LBN Legal business name Schustek, Mary Elizabeth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 18th, 2016 - about 8 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 1891705307 NPPES
South Carolina MEDICAID NP0948
South Carolina Other Q42721179

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