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Contact Information

MARY B LODATO, CERTIFIED NURSE MIDW
316 CHANDLER AVE
EVANSVILLE, IN47713
 Phone: 812-436-4501
 Fax: 812-436-4510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY B LODATO · (Female)

NPI Number 1265431209
Status Active
Credentials CERTIFIED NURSE MIDW
Entity Individual
Enumeration date 07/20/2005
Last updated 05/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 72000026A
  • IN Medicaid 200188920
  • IN Medicaid 200188920A
  • Other 000000328977 ANTHEM BC/BS
  • Other 11384964 CAQH PROVIDER ID
  • IN Other 351791786109 CARESOURCE PROVIDER ID
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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