Niebauer, Mary Jane

Niebauer, Mary Jane is an individual health care provider with primary practice located at 325 New Castle Rd , Butler PA 16001-2418. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Niebauer, Mary Jane can be contacted via phone (724) 285-2501.

Contact Information

Primary practice address
325 New Castle Rd Butler PA 16001-2418
Phone: (724) 285-2501
Fax: (724) 477-5038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS009247L Pennsylvania

Profile Details

NPI number 1790786374
LBN Legal business name Niebauer, Mary Jane
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 5th, 2011 - about 15 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 1790786374 NPPES
Pennsylvania MEDICAID 0018591130001

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