Sirmon, Maryella D.

Sirmon, Maryella D. is an individual health care provider with primary practice located at 124A South University Blvd. , Mobile AL 36608. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Other Service Providers / Specialist is her primary health care specialty. Sirmon, Maryella D. can be contacted via phone (251) 343-5004.

Contact Information

Primary practice address
124A South University Blvd. Mobile AL 36608
Phone: (251) 343-5004
Fax: (251) 343-5136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04518 Alabama
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4518 Alabama

Profile Details

NPI number 1508842121
LBN Legal business name Sirmon, Maryella D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 23rd, 2010 - about 15 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 1508842121 NPPES
Alabama Other 51060272 BCBS
Alabama MEDICAID 000060272 BCBS

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