Lillig, Mary Ann
Lillig, Mary Ann is an individual health care provider with primary practice located at 6301 E 125Th St , Grandview MO 64030-1884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lillig, Mary Ann can be contacted via phone (913) 660-1616.Contact Information
Primary practice address
6301 E 125Th St
Grandview MO 64030-1884
Phone: (913) 660-1616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 05-28496 | Kansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1999135661 | Missouri |
Profile Details
| NPI number | 1902899834 |
|---|---|
| LBN Legal business name | Lillig, Mary Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Apr 5th, 2018 - about 8 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 | 1902899834 | NPPES |
| Kansas | Other | P00345672 | RAILROAD MEDICARE |
| Kansas | Other | 26231025 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 1902899834 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 204776215 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 100351420B | RAILROAD MEDICARE |
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