Zakutney, Mary Ann

Zakutney, Mary Ann is an individual health care provider with primary practice located at 3520 Route 130 Bld 2 Suite 2002, Irwin PA 15642-1438. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Zakutney, Mary Ann can be contacted via phone (724) 744-6167.

Contact Information

Primary practice address
3520 Route 130 Bld 2 Suite 2002 Irwin PA 15642-1438
Phone: (724) 744-6167
Fax: (724) 744-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PERMIT 76290 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39285 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD447210 Pennsylvania

Profile Details

NPI number 1720055049
LBN Legal business name Zakutney, Mary Ann
Credentials MD, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Jan 17th, 2017 - about 9 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 1720055049 NPPES
Pennsylvania MEDICAID 1023735980002

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