Haskew, Mary Jane

Haskew, Mary Jane is an individual health care provider with primary practice located at 502 S Old Orchard Ln Suite 126, Lewisville TX 75067-4374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Haskew, Mary Jane can be contacted via phone (972) 436-7962.

Contact Information

Primary practice address
502 S Old Orchard Ln Suite 126 Lewisville TX 75067-4374
Fax: (972) 353-5780
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 545514 Texas

Profile Details

NPI number 1689688756
LBN Legal business name Haskew, Mary Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 14th, 2021 - about 5 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 1689688756 NPPES
Texas MEDICAID 153212903
Texas Other 545514

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