Zak, Mary Clare
Zak, Mary Clare is an individual health care provider with primary practice located at 970 W Wooster St , Bowling Green OH 43402-2643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Zak, Mary Clare can be contacted via phone (419) 352-6890.Contact Information
Primary practice address
970 W Wooster St
Bowling Green OH 43402-2643
Phone: (419) 352-6890
Fax: (419) 353-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN.384323 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN.CNP.019560 | Ohio |
Profile Details
| NPI number | 1871946822 |
|---|---|
| LBN Legal business name | Zak, Mary Clare |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2016 |
| Last updated | Apr 11th, 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 | 1871946822 | NPPES |
| Ohio | MEDICAID | 0180146 | |
| Ohio | Other | APRN.CNP.019560 | |
| Ohio | Other | RN.384323 |
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