Lundy, Mary E
Lundy, Mary E is an sole proprietor health care provider with primary practice located at 204 College Dr N , Devils Lake ND 58301-2925. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lundy, Mary E can be contacted via phone (701) 662-5874.Contact Information
Primary practice address
204 College Dr N
Devils Lake ND 58301-2925
Phone: (701) 662-5874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1209 | North Dakota |
Profile Details
| NPI number | 1477626117 |
|---|---|
| LBN Legal business name | Lundy, Mary E |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477626117 | NPPES |
| North Dakota | MEDICAID | 52224 |
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