Madison, Mary Lee

Madison, Mary Lee is an sole proprietor health care provider with primary practice located at 1620 Pleasant St Ste 237 , Des Moines IA 50314-1676. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Madison, Mary Lee can be contacted via phone (515) 244-1716.

Contact Information

Primary practice address
1620 Pleasant St Ste 237 Des Moines IA 50314-1676
Phone: (515) 244-1716
Fax: (515) 221-3519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1994 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 12889 Texas

Profile Details

NPI number 1780905422
LBN Legal business name Madison, Mary Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2010
Last updated Apr 21st, 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.

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