Dagenais, Mary J

Dagenais, Mary J is an individual health care provider with primary practice located at 9415 E Harry St Ste 602 , Wichita KS 67207-5082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dagenais, Mary J can be contacted via phone (316) 681-2420.

Contact Information

Primary practice address
9415 E Harry St Ste 602 Wichita KS 67207-5082
Phone: (316) 681-2420
Fax: (316) 681-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1218 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00874 Kansas

Profile Details

NPI number 1689666364
LBN Legal business name Dagenais, Mary J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Nov 15th, 2024 - about 2 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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