Siepierski, Mary

Siepierski, Mary is an individual health care provider with primary practice located at 116 Interstate Pkwy , Bradford PA 16701-1036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Siepierski, Mary can be contacted via phone (814) 368-4143.

Contact Information

Primary practice address
116 Interstate Pkwy Bradford PA 16701-1036
Phone: (814) 368-4143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA059081 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020947-1 New York

Profile Details

NPI number 1396275970
LBN Legal business name Siepierski, Mary
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Nov 26th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396275970 NPPES
Other 1143371 NCCPA

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