Statton, Maria K
Statton, Maria K is an individual health care provider with primary practice located at 1233 34Th St Nw , Bemidji MN 56601-5112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Statton, Maria K can be contacted via phone (218) 333-5180.Contact Information
Primary practice address
1233 34Th St Nw
Bemidji MN 56601-5112
Phone: (218) 333-5180
Fax: (218) 759-5438
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36844 | Minnesota |
Profile Details
NPI number | 1194746313 |
---|---|
LBN Legal business name | Statton, Maria K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2006 |
Last updated | May 7th, 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 | 1194746313 | NPPES |
Minnesota | MEDICAID | 960315800 |
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