National Provider Identifier Database

MARY J SOMERVILLE
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

MARY J SOMERVILLE
303 W FRANKLIN ST
WARRENTON, NC27589-1937
Phone: 252-257-4568
Fax: 252-257-2388
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for MARY J SOMERVILLE

NPI Number 1649314840
Credentials
Entity Individual
Enumeration date 02/19/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 715493
  • NC Medicaid: 7801382
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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