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Contact Information

MARY JANE GRESHAM
373 S WILLOW ST # 110
MANCHESTER, NH03103-5751
 Phone: 314-888-5233
 Fax: 818-907-7828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for MARY JANE GRESHAM · (Female)

NPI # 1912465063
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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