Vath, Mary

Vath, Mary is an individual health care provider with primary practice located at 9104 Columbia Ave , Munster IN 46321-2907. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vath, Mary can be contacted via phone (219) 836-4473.

Contact Information

Primary practice address
9104 Columbia Ave Munster IN 46321-2907
Phone: (219) 836-4473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28216545A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009481A Indiana

Profile Details

NPI number 1811545338
LBN Legal business name Vath, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2019
Last updated Jan 17th, 2020 - about 6 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 1811545338 NPPES
Indiana MEDICAID 300031576

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