Marvin, Mary A

Marvin, Mary A is an sole proprietor health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Marvin, Mary A can be contacted via phone (309) 671-1539.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-0001
Phone: (309) 671-1539
Fax: (309) 671-7528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 041290023 Illinois

Profile Details

NPI number 1336429950
LBN Legal business name Marvin, Mary A
Credentials ACNS BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 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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