Short, Mary J
Short, Mary J is an individual health care provider with primary practice located at 10550 Quivira Rd Suite 200, Overland Park KS 66215-2306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Short, Mary J can be contacted via phone (913) 541-3340.Contact Information
Primary practice address
10550 Quivira Rd Suite 200
Overland Park KS 66215-2306
Phone: (913) 541-3340
Fax: (913) 492-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-18170 | Kansas |
Profile Details
| NPI number | 1821083320 |
|---|---|
| LBN Legal business name | Short, Mary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Aug 28th, 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 | 1821083320 | NPPES |
| Missouri | Other | R1C52 | MEDICAL LICENSE |
| Missouri | Other | 04-18170 | MEDICAL LICENSE |
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