Flanders, Mary Kathleen

Flanders, Mary Kathleen is an individual health care provider with primary practice located at 1235 Viking Topaz Ct , Westfield IN 46074-7622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Flanders, Mary Kathleen can be contacted via phone (617) 821-6870.

Contact Information

Primary practice address
1235 Viking Topaz Ct Westfield IN 46074-7622
Phone: (617) 821-6870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X AP2121 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002066 Virginia

Profile Details

NPI number 1194703546
LBN Legal business name Flanders, Mary Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Aug 25th, 2022 - about 4 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 1194703546 NPPES
Virginia MEDICAID 010203155
Virginia Other TN0139

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