Condon, Mary
Condon, Mary is an sole proprietor health care provider with primary practice located at 1 Hurley Plz , Flint MI 48503-5902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Condon, Mary can be contacted via phone (810) 262-9751.Contact Information
Primary practice address
1 Hurley Plz
Flint MI 48503-5902
Phone: (810) 262-9751
Fax: (810) 262-9659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704262452 | Michigan |
Profile Details
| NPI number | 1104221720 |
|---|---|
| LBN Legal business name | Condon, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2014 |
| Last updated | Oct 24th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104221720 | NPPES |
| Michigan | Other | 4704262452 | LICENSE |
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