Provider Demographics
NPI:1215129374
Name:CATER, MARY A (PT)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:A
Last Name:CATER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 COUNTY RD N
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:NE
Mailing Address - Zip Code:68019-5039
Mailing Address - Country:US
Mailing Address - Phone:402-377-2008
Mailing Address - Fax:
Practice Address - Street 1:601 E 2ND ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NE
Practice Address - Zip Code:68045-1400
Practice Address - Country:US
Practice Address - Phone:402-685-5601
Practice Address - Fax:402-685-6223
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2529282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural