Abbott, Alice Mccormick
Abbott, Alice Mccormick is an sole proprietor health care provider with primary practice located at 421 N Main St , Leeds MA 01053-9764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Abbott, Alice Mccormick can be contacted via phone (413) 584-4040.Contact Information
Primary practice address
421 N Main St
Leeds MA 01053-9764
Phone: (413) 584-4040
Fax: (413) 773-8435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 78634 | Massachusetts |
Profile Details
| NPI number | 1922096205 |
|---|---|
| LBN Legal business name | Abbott, Alice Mccormick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 23rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922096205 | NPPES |
| Massachusetts | MEDICAID | 3141691 | |
| Massachusetts | Other | J31132 |
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