Johnsten, Mary E
Johnsten, Mary E is an individual health care provider with primary practice located at 411 N Section St , Fairhope AL 36532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnsten, Mary E can be contacted via phone (251) 660-3470.Contact Information
Primary practice address
411 N Section St
Fairhope AL 36532
Phone: (251) 660-3470
Fax: (251) 660-3471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-393 | Alabama |
Profile Details
| NPI number | 1700801370 |
|---|---|
| LBN Legal business name | Johnsten, Mary E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jun 3rd, 2019 - about 7 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 | 1700801370 | NPPES |
| Florida | MEDICAID | 008087700 | |
| Florida | Other | 51593935 | |
| Florida | Other | 51593844 |
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