Schipper, Mary Starr
Schipper, Mary Starr is an individual health care provider with primary practice located at Las Vegas Clinic For Children & Youth 501 7Th Street, Las Vegas NM 87701-3993. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Schipper, Mary Starr can be contacted via phone (505) 425-3566.Contact Information
Primary practice address
Las Vegas Clinic For Children & Youth 501 7Th Street
Las Vegas NM 87701-3993
Phone: (505) 425-3566
Fax: (505) 425-3568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20030522 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0027946 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD021090E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12493 | West Virginia |
Profile Details
| NPI number | 1922189463 |
|---|---|
| LBN Legal business name | Schipper, Mary Starr |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 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 | 1922189463 | NPPES |
| New Mexico | MEDICAID | 49395 |
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