Killsontop, Mary Pauline
Killsontop, Mary Pauline is an individual health care provider with primary practice located at 24 Great Plains Rd. , Arapahoe WY 82510. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Killsontop, Mary Pauline can be contacted via phone (307) 856-0470.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1952933400 |
|---|---|
| LBN Legal business name | Killsontop, Mary Pauline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2020 |
| Last updated | Feb 12th, 2020 - about 6 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 | 1952933400 | NPPES |
| Wyoming | MEDICAID | 47-5206746 |
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