Phaup, Mary Selena

Phaup, Mary Selena is an individual health care provider with primary practice located at 1015 College Dr , Madisonville KY 42431-9189. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Phaup, Mary Selena can be contacted via phone (270) 452-2188.

Contact Information

Primary practice address
1015 College Dr Madisonville KY 42431-9189
Phone: (270) 452-2188
Fax: (270) 245-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001050 Kentucky

Profile Details

NPI number 1558551150
LBN Legal business name Phaup, Mary Selena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated May 26th, 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 1558551150 NPPES
Kentucky Other 001050 KENTUCKY STATE LICENSE

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