Sepkowitz, Mary Carroll
Sepkowitz, Mary Carroll is an sole proprietor health care provider with primary practice located at 991 W Hudson Blvd , Gastonia NC 28052-6430. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sepkowitz, Mary Carroll can be contacted via phone (704) 853-5126.Contact Information
Primary practice address
991 W Hudson Blvd
Gastonia NC 28052-6430
Phone: (704) 853-5126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 712534 | California |
| Nursing Service Providers / Maternal Newborn | 163WM0102X | 177696 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | NP 18547 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5004870 | North Carolina |
Profile Details
| NPI number | 1255509139 |
|---|---|
| LBN Legal business name | Sepkowitz, Mary Carroll |
| Credentials | RN, MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Feb 28th, 2011 - about 15 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 | 1255509139 | NPPES |
| North Carolina | MEDICAID | 7004569 |
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