Fornetti, Mary Therese

Fornetti, Mary Therese is an individual health care provider with primary practice located at 325 E H St , Iron Mountain MI 49801-4760. 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. Fornetti, Mary Therese can be contacted via phone (906) 774-3300.

Contact Information

Primary practice address
325 E H St Iron Mountain MI 49801-4760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2012005497 Missouri

Profile Details

NPI number 1760750889
LBN Legal business name Fornetti, Mary Therese
Credentials MMS PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2011
Last updated Jun 17th, 2013 - about 13 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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