Mckellar, Mariah Mann
Mckellar, Mariah Mann is an individual health care provider with primary practice located at 303 Green St E , Wilson NC 27893-4105. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mckellar, Mariah Mann can be contacted via phone (252) 243-9800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2013-00178 | North Carolina |
Profile Details
| NPI number | 1760702815 |
|---|---|
| LBN Legal business name | Mckellar, Mariah Mann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1760702815 | NPPES |
| North Carolina | Other | 247301 | MEDCOST |
| North Carolina | Other | NCD002A | MEDCOST |
| North Carolina | Other | 18079 | MEDCOST |
| North Carolina | MEDICAID | 1760702815 | MEDCOST |
| North Carolina | Other | 1073315 | MEDCOST |
| North Carolina | Other | 4802912 | MEDCOST |
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