Sroga, Mary F

Sroga, Mary F is an individual health care provider with primary practice located at 77 E Woodbury Dr Suite 110, Dayton OH 45415-2855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Sroga, Mary F can be contacted via phone (937) 277-1722.

Contact Information

Primary practice address
77 E Woodbury Dr Suite 110 Dayton OH 45415-2855
Phone: (937) 277-1722
Fax: (937) 277-8618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X COA.03552-NP Ohio

Profile Details

NPI number 1174550016
LBN Legal business name Sroga, Mary F
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 16th, 2014 - about 10 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 1174550016 NPPES
Ohio Other 421534506111 CARESOURCE
Ohio Other 421534506117 CARESOURCE
Ohio Other 000000558163 CARESOURCE
Ohio MEDICAID 2059203 CARESOURCE

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