Vaughn, Mary Jane

Vaughn, Mary Jane is an individual health care provider with primary practice located at 3160 8Th St Sw Suite 1, Altoona IA 50009-1023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Vaughn, Mary Jane can be contacted via phone (515) 967-4580.

Contact Information

Primary practice address
3160 8Th St Sw Suite 1 Altoona IA 50009-1023
Phone: (515) 967-4580
Fax: (515) 967-4899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-001801 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01243 Iowa

Profile Details

NPI number 1588713986
LBN Legal business name Vaughn, Mary Jane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 17th, 2012 - about 13 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 1588713986 NPPES
Illinois Other 070-001801 PT STATE LICENSE #

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