Mar, Thet Thet

Mar, Thet Thet is an individual health care provider with primary practice located at 120 Hobart St , Utica NY 13501-4308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mar, Thet Thet can be contacted via phone (315) 798-1149.

Contact Information

Primary practice address
120 Hobart St Utica NY 13501-4308
Fax: (315) 734-3565
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F337438-1 New York

Profile Details

NPI number 1043563232
LBN Legal business name Mar, Thet Thet
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2012
Last updated Jun 24th, 2013 - about 13 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 1043563232 NPPES
New York MEDICAID 03571813

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