Wilson, Mary C.

Wilson, Mary C. is an individual health care provider with primary practice located at 1205 York Rd 19, Lutherville Timonium MD 21093-6210. 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. Wilson, Mary C. can be contacted via phone (410) 296-9195.

Contact Information

Primary practice address
1205 York Rd 19 Lutherville Timonium MD 21093-6210
Phone: (410) 296-9195
Fax: (410) 296-9197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15035 Maryland

Profile Details

NPI number 1760517585
LBN Legal business name Wilson, Mary C.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 13th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760517585 NPPES
Maryland Other S9550001 BCBS FEDERAL
Maryland Other 35184405 BCBS FEDERAL
Maryland Other DA2862 P00046856 BCBS FEDERAL

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