Vomacka, Mary Ellen Louise

Vomacka, Mary Ellen Louise is an individual health care provider with primary practice located at 1604 South First Street Affiliated Community Medical Centers, Willmar MN 56201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Vomacka, Mary Ellen Louise can be contacted via phone (320) 231-5079.

Contact Information

Primary practice address
1604 South First Street Affiliated Community Medical Centers Willmar MN 56201
Phone: (320) 231-5079
Fax: (320) 231-5067
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36746 Minnesota

Profile Details

NPI number 1962561936
LBN Legal business name Vomacka, Mary Ellen Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jun 14th, 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 1962561936 NPPES
Other 1521082 UBH
Other 9F414VO UBH
Other 1013089 UBH
Other 115359 UBH

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