Bender, Mary Ellen

Bender, Mary Ellen is an sole proprietor health care provider with primary practice located at 580 Pinehust Trace Dr , Pinehurst NC 28374. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bender, Mary Ellen can be contacted via phone (910) 235-4627.

Contact Information

Primary practice address
580 Pinehust Trace Dr Pinehurst NC 28374
Fax: (910) 235-4627
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 516 North Carolina

Profile Details

NPI number 1487727426
LBN Legal business name Bender, Mary Ellen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Aug 5th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487727426 NPPES
North Carolina Other 017Y9 BLUE CROSS BLUE SHEILD
North Carolina MEDICAID 6102215 BLUE CROSS BLUE SHEILD
North Carolina Other 183754 BLUE CROSS BLUE SHEILD

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