Morey, Mary Jo
Morey, Mary Jo is an individual health care provider with primary practice located at 17501 Generations Dr , South Bend IN 46635-1589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Morey, Mary Jo can be contacted via phone (574) 234-0049.Contact Information
Primary practice address
17501 Generations Dr
South Bend IN 46635-1589
Phone: (574) 234-0049
Fax: (574) 234-0053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001590A | Indiana |
Profile Details
| NPI number | 1972500874 |
|---|---|
| LBN Legal business name | Morey, Mary Jo |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| 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 | 1972500874 | NPPES |
| Indiana | MEDICAID | 200491240 | |
| Indiana | MEDICAID | 200491240A | |
| Indiana | Other | 00000849526 | |
| Indiana | Other | P01373877 |
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