Vomacka, Mary Ellen Louise
Vomacka, Mary Ellen Louise is an individual health care provider with primary practice located at 1604 South First Street Affiliated Community Medical Centers, Willmar MN 56201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Vomacka, Mary Ellen Louise can be contacted via phone (320) 231-5079.Contact Information
Primary practice address
1604 South First Street Affiliated Community Medical Centers
Willmar MN 56201
Phone: (320) 231-5079
Fax: (320) 231-5067
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36746 | Minnesota |
Profile Details
NPI number | 1962561936 |
---|---|
LBN Legal business name | Vomacka, Mary Ellen Louise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Jun 14th, 2013 - 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 | 1962561936 | NPPES |
Other | 1521082 | UBH | |
Other | 9F414VO | UBH | |
Other | 1013089 | UBH | |
Other | 115359 | UBH |
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