Adler, Mary C

Adler, Mary C is an individual health care provider with primary practice located at 529 Coffman St Ste 200, Longmont CO 80501-5450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Adler, Mary C can be contacted via phone (303) 678-6137.

Contact Information

Primary practice address
529 Coffman St Ste 200 Longmont CO 80501-5450
Phone: (303) 678-6137
Fax: (303) 678-6125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 49115 Colorado

Profile Details

NPI number 1568466373
LBN Legal business name Adler, Mary C
Credentials CERT PED NURSE PRACT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 19th, 2007 - about 18 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 1568466373 NPPES
Colorado MEDICAID 07026354

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