Jennings, Mary Kathleen
Jennings, Mary Kathleen is an individual health care provider with primary practice located at 84 Marginal Way Suite 1000, Portland ME 04101-1392. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jennings, Mary Kathleen can be contacted via phone (207) 774-4092.Contact Information
Primary practice address
84 Marginal Way Suite 1000
Portland ME 04101-1392
Phone: (207) 774-4092
Fax: (207) 523-8596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 016582 | Maine |
Profile Details
| NPI number | 1679741839 |
|---|---|
| LBN Legal business name | Jennings, Mary Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2008 |
| Last updated | Jun 12th, 2013 - about 13 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 | 1679741839 | NPPES |
| New Hampshire | MEDICAID | 30209656 |
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