Bouley, Mary Jane
Bouley, Mary Jane is an individual health care provider with primary practice located at 37 N Union Street , Spencerport NY 14559. 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. Bouley, Mary Jane can be contacted via phone (585) 349-2860.Contact Information
Primary practice address
37 N Union Street
Spencerport NY 14559
Phone: (585) 349-2860
Fax: (585) 349-2995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 016481 | New York |
Profile Details
| NPI number | 1447220140 |
|---|---|
| LBN Legal business name | Bouley, Mary Jane |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Aug 20th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447220140 | NPPES |
| New York | Other | P010016481 | BLUE CHOICE |
| New York | Other | 103351FT | BLUE CHOICE |
| New York | Other | 7024316 | BLUE CHOICE |
| New York | Other | P011016481 | BLUE CHOICE |
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