Schad, Mary Jean
Schad, Mary Jean is an sole proprietor health care provider with primary practice located at 225 N Jackson St , Belleville IL 62220-1308. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Schad, Mary Jean can be contacted via phone (618) 233-6405.Contact Information
Primary practice address
225 N Jackson St
Belleville IL 62220-1308
Phone: (618) 233-6405
Fax: (618) 233-6424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19-18650 | Illinois |
Profile Details
| NPI number | 1295807097 |
|---|---|
| LBN Legal business name | Schad, Mary Jean |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1295807097 | NPPES |
| Illinois | Other | 19-18650 | ILLINOIS STATE LICENSE |
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