Valuckas, Mindi N

Valuckas, Mindi N is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Valuckas, Mindi N can be contacted via phone (410) 521-2200.

Contact Information

Primary practice address
5401 Old Court Rd Randallstown MD 21133-5103
Phone: (410) 521-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0002486 Maryland

Profile Details

NPI number 1053372664
LBN Legal business name Valuckas, Mindi N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 29th, 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 1053372664 NPPES
Maryland Other CN6601 R/R MEDICARE GROUP #
Maryland Other P00370888 R/R MEDICARE GROUP #

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