Heady, Mary
Heady, Mary is an individual health care provider with primary practice located at 450 S Kitsap Blvd Ste 210 , Port Orchard WA 98366-3738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heady, Mary can be contacted via phone (360) 874-5900.Contact Information
Primary practice address
450 S Kitsap Blvd Ste 210
Port Orchard WA 98366-3738
Phone: (360) 874-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP60947864 | Washington |
Profile Details
| NPI number | 1811351752 |
|---|---|
| LBN Legal business name | Heady, Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2016 |
| Last updated | Dec 4th, 2020 - about 6 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 | 1811351752 | NPPES |
| Washington | MEDICAID | 2138624 |
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