Sansom, Mary Jane

Sansom, Mary Jane is an individual health care provider with primary practice located at 1085 Maple St , Farmington MO 63640-1955. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Sansom, Mary Jane can be contacted via phone (573) 756-5353.

Contact Information

Primary practice address
1085 Maple St Farmington MO 63640-1955
Phone: (573) 756-5353
Fax: (573) 756-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1265071864
LBN Legal business name Sansom, Mary Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2019
Last updated Dec 30th, 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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