Lockard, Mary Kathleen
Lockard, Mary Kathleen is an individual health care provider with primary practice located at 505 E Grant St Suite 103, Macomb IL 61455-3352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lockard, Mary Kathleen can be contacted via phone (309) 833-3536.Contact Information
Primary practice address
505 E Grant St Suite 103
Macomb IL 61455-3352
Phone: (309) 833-3536
Fax: (309) 836-5729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036111319 | Illinois |
Profile Details
| NPI number | 1679571152 |
|---|---|
| LBN Legal business name | Lockard, Mary Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jun 30th, 2011 - about 15 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 | 1679571152 | NPPES |
| Illinois | MEDICAID | 036111319 |
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