Vincent, Mary Kottke
Vincent, Mary Kottke is an individual health care provider with primary practice located at 6704 Cockerille Ave , Takoma Park MD 20912-4730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Vincent, Mary Kottke can be contacted via phone (907) 957-2535.Contact Information
Primary practice address
6704 Cockerille Ave
Takoma Park MD 20912-4730
Phone: (907) 957-2535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 555 | Alaska |
Profile Details
| NPI number | 1376668269 |
|---|---|
| LBN Legal business name | Vincent, Mary Kottke |
| Credentials | MPH, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | May 4th, 2015 - about 10 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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