Stech, Mary
Stech, Mary is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stech, Mary can be contacted via phone (217) 366-1212.Contact Information
Primary practice address
101 W University Ave
Champaign IL 61820-3909
Phone: (217) 366-1212
Fax: (217) 366-6106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209004442 | Illinois |
Profile Details
NPI number | 1902849789 |
---|---|
LBN Legal business name | Stech, Mary |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Nov 17th, 2014 - about 11 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 | 1902849789 | NPPES |
Illinois | Other | P00403926 | RAILROAD MEDICARE |
Illinois | Other | 433990 | RAILROAD MEDICARE |
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