Ittner, Mary

Ittner, Mary is an sole proprietor health care provider with primary practice located at 1002 Hillshire Dr , Clarksville TN 37043-2106. She recently has only one registered license in Hospitals / Military Hospital, which is considered as her primary health care specialty. Ittner, Mary can be contacted via phone (605) 254-2678.

Contact Information

Primary practice address
1002 Hillshire Dr Clarksville TN 37043-2106
Phone: (605) 254-2678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Military Hospital 286500000X R024183 South Dakota

Profile Details

NPI number 1750571261
LBN Legal business name Ittner, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Sep 28th, 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.

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