Chavez, Mary Ann

Chavez, Mary Ann is an sole proprietor health care provider with primary practice located at 1120 N Section St Sullivan Medical Clinic, Sullivan IN 47882-9200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chavez, Mary Ann can be contacted via phone (812) 268-3901.

Contact Information

Primary practice address
1120 N Section St Sullivan Medical Clinic Sullivan IN 47882-9200
Phone: (812) 268-3901
Fax: (812) 268-0674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002313A Indiana

Profile Details

NPI number 1578633194
LBN Legal business name Chavez, Mary Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jan 31st, 2013 - about 13 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 1578633194 NPPES
Indiana MEDICAID 200343440

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