Ford, Mary N
Ford, Mary N is an individual health care provider with primary practice located at 3344 N Futrall Dr , Fayetteville AR 72703-4057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ford, Mary N can be contacted via phone (479) 521-8200.Contact Information
Primary practice address
3344 N Futrall Dr
Fayetteville AR 72703-4057
Phone: (479) 521-8200
Fax: (479) 582-7310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-10346 | Arkansas |
Profile Details
| NPI number | 1356323042 |
|---|---|
| LBN Legal business name | Ford, Mary N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Mar 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356323042 | NPPES |
| Tennessee | Other | 3062741 | BLUE CROSS |
| Tennessee | MEDICAID | 3388963 | BLUE CROSS |
| Tennessee | Other | 000000003911 | BLUE CROSS |
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