Lamusga, Mary J

Lamusga, Mary J is an individual health care provider with primary practice located at 49725 County 83 , Staples MN 56479-5280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lamusga, Mary J can be contacted via phone (218) 894-1515.

Contact Information

Primary practice address
49725 County 83 Staples MN 56479-5280
Phone: (218) 894-1515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9450 Minnesota

Profile Details

NPI number 1285612200
LBN Legal business name Lamusga, Mary J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285612200 NPPES
Minnesota Other 42B94LA BCBS
Minnesota Other 95124 BCBS
Minnesota Other 970011717 BCBS
Minnesota Other 0110106 BCBS
Minnesota Other NA2951023879 BCBS
Minnesota Other 123764 BCBS
Minnesota Other 1694595 BCBS
Minnesota Other 410849339 56001 C143 BCBS
Minnesota Other HP41031 BCBS
Minnesota MEDICAID 507460600 BCBS

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