Somerville, Mary Jones

Somerville, Mary Jones is an individual health care provider with primary practice located at 303 W Franklin St , Warrenton NC 27589-1937. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Somerville, Mary Jones can be contacted via phone (252) 257-4568.

Contact Information

Primary practice address
303 W Franklin St Warrenton NC 27589-1937
Phone: (252) 257-4568
Fax: (252) 257-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 715493 North Carolina

Profile Details

NPI number 1649314840
LBN Legal business name Somerville, Mary Jones
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 9th, 2007 - about 17 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 1649314840 NPPES
North Carolina MEDICAID 7801382

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