Stailey-Sims, Mary K.

Stailey-Sims, Mary K. is an individual health care provider with primary practice located at 435 Hurffville Cross Keys Rd , Turnersville NJ 08012-2453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stailey-Sims, Mary K. can be contacted via phone (856) 582-2816.

Contact Information

Primary practice address
435 Hurffville Cross Keys Rd Turnersville NJ 08012-2453
Fax: (856) 582-2712
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MB74225 New Jersey

Profile Details

NPI number 1538198346
LBN Legal business name Stailey-Sims, Mary K.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated May 24th, 2013 - about 13 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 1538198346 NPPES
New Jersey MEDICAID 8979006

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