Mcadoo, Mary
Mcadoo, Mary is an individual health care provider with primary practice located at Queen City Regional Medical Clinic 1420 N. 10Th Street, Spearfish SD 57783-1532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcadoo, Mary can be contacted via phone (605) 642-8414.Contact Information
Primary practice address
Queen City Regional Medical Clinic 1420 N. 10Th Street
Spearfish SD 57783-1532
Phone: (605) 642-8414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4916 | South Dakota |
Profile Details
| NPI number | 1265405062 |
|---|---|
| LBN Legal business name | Mcadoo, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Aug 13th, 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 | 1265405062 | NPPES |
| South Dakota | MEDICAID | 6701480 |
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