Mariencheck, Maria C

Mariencheck, Maria C is an individual health care provider with primary practice located at 87B Murray Guard Dr , Jackson TN 38305-3628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mariencheck, Maria C can be contacted via phone (731) 664-1375.

Contact Information

Primary practice address
87B Murray Guard Dr Jackson TN 38305-3628
Phone: (731) 664-1375
Fax: (731) 660-8319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9800627 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD34201 Tennessee

Profile Details

NPI number 1659348746
LBN Legal business name Mariencheck, Maria C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 9th, 2019 - about 7 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 1659348746 NPPES
Tennessee MEDICAID 3848074

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