Newsome, Mary Lou

Newsome, Mary Lou is an individual health care provider with primary practice located at 61353 Southgate Rd , Cambridge OH 43725-6607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Newsome, Mary Lou can be contacted via phone (740) 435-8585.

Contact Information

Primary practice address
61353 Southgate Rd Cambridge OH 43725-6607
Phone: (740) 435-8585
Fax: (740) 435-2959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.022015 Ohio

Profile Details

NPI number 1215441308
LBN Legal business name Newsome, Mary Lou
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2017
Last updated Jul 13th, 2021 - about 5 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 1215441308 NPPES
Other APRN.CNP.022015 CERTIFIED NURSE PRACTITIONER

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