Stallmeyer, Mary Joanne Bernadette
Stallmeyer, Mary Joanne Bernadette is an individual health care provider with primary practice located at 6Th Avenue & Spruce Street , West Reading PA 19611-1428. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Stallmeyer, Mary Joanne Bernadette can be contacted via phone (610) 988-8059.Contact Information
Primary practice address
6Th Avenue & Spruce Street
West Reading PA 19611-1428
Phone: (610) 988-8059
Fax: (610) 988-4242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | D0052263 | Maryland |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD441979 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0052263 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0052263 | Maryland |
Profile Details
| NPI number | 1710979067 |
|---|---|
| LBN Legal business name | Stallmeyer, Mary Joanne Bernadette |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1710979067 | NPPES |
| Louisiana | MEDICAID | 1883824 | |
| Louisiana | MEDICAID | 102564535001 | |
| Louisiana | MEDICAID | 110800000 2662043 | |
| Louisiana | Other | 967707 | |
| Louisiana | Other | 3811 0020 | |
| Louisiana | Other | 5235541 | |
| Louisiana | Other | KC46SH |
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