Wightman, Mary

Wightman, Mary is an sole proprietor health care provider with primary practice located at 2800 Cleveland Ave N , Roseville MN 55113-1126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics, which is considered as her primary health care specialty. Wightman, Mary can be contacted via phone (651) 642-1825.

Contact Information

Primary practice address
2800 Cleveland Ave N Roseville MN 55113-1126
Phone: (651) 642-1825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics 2279P3900X 3054 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics 2279P3900X 3293 Wisconsin

Profile Details

NPI number 1336282235
LBN Legal business name Wightman, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 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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