Ireland, Mary L
Ireland, Mary L is an sole proprietor health care provider with primary practice located at 2195 Harrodsburg Rd Ste 125 , Lexington KY 40504-3543. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Ireland, Mary L can be contacted via phone (859) 218-3064.Contact Information
Primary practice address
2195 Harrodsburg Rd Ste 125
Lexington KY 40504-3543
Phone: (859) 218-3064
Fax: (859) 257-8696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24323 | Kentucky |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 24323 | Kentucky |
Profile Details
| NPI number | 1427072883 |
|---|---|
| LBN Legal business name | Ireland, Mary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 29th, 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 | 1427072883 | NPPES |
| Kentucky | Other | 000000048615 | ANTHEM BCBS |
| Kentucky | Other | 25001766 | ANTHEM BCBS |
| Kentucky | Other | 4341027 | ANTHEM BCBS |
| Kentucky | MEDICAID | 65939795 | ANTHEM BCBS |
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