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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104221720 NPPES
Michigan Other 4704262452 LICENSE

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