Vonder Haar, Mary Lela Valentine
Vonder Haar, Mary Lela Valentine is an individual health care provider with primary practice located at 2222 Jackson Ave W , Oxford MS 38655-5409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vonder Haar, Mary Lela Valentine can be contacted via phone (662) 380-5560.Contact Information
Primary practice address
2222 Jackson Ave W
Oxford MS 38655-5409
Phone: (662) 380-5560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA12044 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00685 | Mississippi |
Profile Details
| NPI number | 1851800353 |
|---|---|
| LBN Legal business name | Vonder Haar, Mary Lela Valentine |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2017 |
| Last updated | May 9th, 2023 - about last year |
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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