Solon, Mary Kay
Solon, Mary Kay is an individual health care provider with primary practice located at 1234 E Dupont Rd Ste 7, Fort Wayne IN 46825-1545. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Solon, Mary Kay can be contacted via phone (260) 490-0940.Contact Information
Primary practice address
1234 E Dupont Rd Ste 7
Fort Wayne IN 46825-1545
Phone: (260) 490-0940
Fax: (260) 490-5063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 05000775A | Indiana |
Profile Details
| NPI number | 1396834172 |
|---|---|
| LBN Legal business name | Solon, Mary Kay |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 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 | 1396834172 | NPPES |
| Indiana | Other | 05000775A | PHYSICAL THERAPIST LICENS |
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