Ross, Mary
Ross, Mary is an individual health care provider with primary practice located at 4115 Lake Otis Pkwy , Anchorage AK 99508-5213. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Ross, Mary can be contacted via phone (907) 563-7228.Contact Information
Primary practice address
4115 Lake Otis Pkwy
Anchorage AK 99508-5213
Phone: (907) 563-7228
Fax: (907) 563-6278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 191 | Alaska |
Profile Details
| NPI number | 1124015649 |
|---|---|
| LBN Legal business name | Ross, Mary |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | May 1st, 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 | 1124015649 | NPPES |
| Alaska | MEDICAID | NM0191 | |
| Alaska | MEDICAID | NP01741 | |
| Alaska | MEDICAID | NP0174 |
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