Sumpter, Mary
Sumpter, Mary is an sole proprietor health care provider with primary practice located at 13110 Sw 263Rd Ter , Homestead FL 33032-8927. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Sumpter, Mary can be contacted via phone (305) 258-3448.Contact Information
Primary practice address
13110 Sw 263Rd Ter
Homestead FL 33032-8927
Phone: (305) 258-3448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1174798557 |
|---|---|
| LBN Legal business name | Sumpter, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Apr 25th, 2008 - about 18 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 | 1174798557 | NPPES |
| Florida | Other | 230532100 | MEDICAID PROVIDER NUMBER |
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