Krall, Mary

Krall, Mary is an individual health care provider with primary practice located at 2500 W Reynolds St , Pontiac IL 61764-9774. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Krall, Mary can be contacted via phone (815) 842-3633.

Contact Information

Primary practice address
2500 W Reynolds St Pontiac IL 61764-9774
Phone: (815) 842-3633
Fax: (815) 844-6309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041127668/209001388 Illinois

Profile Details

NPI number 1275626525
LBN Legal business name Krall, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2006
Last updated Jul 8th, 2007 - about 19 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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