Norman, Mary A
Norman, Mary A is an individual health care provider with primary practice located at Socorro General Medical Group 1204 Us Highway 60 West, Socorro NM 87801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Norman, Mary A can be contacted via phone (575) 838-4690.Contact Information
Primary practice address
Socorro General Medical Group 1204 Us Highway 60 West
Socorro NM 87801
Phone: (575) 838-4690
Fax: (575) 838-4689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R16746 | New Mexico |
Profile Details
| NPI number | 1770584153 |
|---|---|
| LBN Legal business name | Norman, Mary A |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Aug 14th, 2008 - about 18 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 | 1770584153 | NPPES |
| New Mexico | MEDICAID | 19736550 |
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