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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265405062 NPPES
South Dakota MEDICAID 6701480

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