Odaniel, Mary Anne E

Odaniel, Mary Anne E is an individual health care provider with primary practice located at 444 S Main St , Madisonville KY 42431. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Odaniel, Mary Anne E can be contacted via phone (270) 825-0069.

Contact Information

Primary practice address
444 S Main St Madisonville KY 42431
Fax: (270) 824-9777
Website:

Profile Details

NPI number 1578052171
LBN Legal business name Odaniel, Mary Anne E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated Mar 6th, 2019 - about 7 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 1578052171 NPPES
Kentucky MEDICAID 7100552180

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