Faust, Mary E
Faust, Mary E is an individual health care provider with primary practice located at 2655 Woodglen Rd , Pottsville PA 17901-1335. 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. Faust, Mary E can be contacted via phone (570) 622-6648.Contact Information
Primary practice address
2655 Woodglen Rd
Pottsville PA 17901-1335
Phone: (570) 622-6648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT003383L | Pennsylvania |
Profile Details
| NPI number | 1376532994 |
|---|---|
| LBN Legal business name | Faust, Mary E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Nov 18th, 2011 - about 15 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 | 1376532994 | NPPES |
| Pennsylvania | Other | 484421 | AETNA |
| Pennsylvania | Other | 433627 | AETNA |
| Pennsylvania | Other | 01815801 | AETNA |
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