Mortell, Mary Patricia
Mortell, Mary Patricia is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Mortell, Mary Patricia can be contacted via phone (734) 936-4000.Contact Information
Primary practice address
1500 E Medical Center Dr
Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 406545 | Michigan |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 4301406545 | Michigan |
Profile Details
| NPI number | 1851370142 |
|---|---|
| LBN Legal business name | Mortell, Mary Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Apr 24th, 2023 - about 3 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 | 1851370142 | NPPES |
| Michigan | Other | 2359882001 | CIGNA |
| Michigan | Other | 020022 | CIGNA |
| Michigan | MEDICAID | 2769932 | CIGNA |
| Michigan | Other | 0H14989 | CIGNA |
| Michigan | Other | 10004002 | CIGNA |
| Michigan | Other | 0812110 | CIGNA |
| Michigan | Other | 4404019 | CIGNA |
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