Novotny, Mary E

Novotny, Mary E is an individual health care provider with primary practice located at 1340 Charles St Suite 100, Rockford IL 61104. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Novotny, Mary E can be contacted via phone (779) 696-8700.

Contact Information

Primary practice address
1340 Charles St Suite 100 Rockford IL 61104
Phone: (779) 696-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-359227 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209-013360 Illinois

Profile Details

NPI number 1689056285
LBN Legal business name Novotny, Mary E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Feb 19th, 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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