Stanton, Marylou
Stanton, Marylou is an individual health care provider with primary practice located at 179 N Broad St , Norwich NY 13815-1019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stanton, Marylou can be contacted via phone (607) 337-4111.Contact Information
Primary practice address
179 N Broad St
Norwich NY 13815-1019
Phone: (607) 337-4111
Fax: (607) 337-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 339648 | New York |
Profile Details
| NPI number | 1487035739 |
|---|---|
| LBN Legal business name | Stanton, Marylou |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2015 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487035739 | NPPES |
| New York | Other | 15-0532180 | TAX IDENTIFICATION NUMBER |
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