Indorf, Mary Ann
Indorf, Mary Ann is an sole proprietor health care provider with primary practice located at 93 Waterbury Rd , Prospect CT 06712-1223. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Indorf, Mary Ann can be contacted via phone (203) 756-6569.Contact Information
Primary practice address
93 Waterbury Rd
Prospect CT 06712-1223
Phone: (203) 756-6569
Fax: (203) 758-0443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 002495 | Connecticut |
Profile Details
| NPI number | 1124254925 |
|---|---|
| LBN Legal business name | Indorf, Mary Ann |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2009 |
| Last updated | Jun 8th, 2009 - about 17 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 | 1124254925 | NPPES |
| Connecticut | Other | 080002495CT03 | ANTHEM PROVIDER NUMBER |
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