Ahern, Richard L

Ahern, Richard L is an individual health care provider with primary practice located at 55 Fruit St Gray-Jackson 504, Boston MA 02114-2621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Ahern, Richard L can be contacted via phone (617) 726-3906.

Contact Information

Primary practice address
55 Fruit St Gray-Jackson 504 Boston MA 02114-2621
Phone: (617) 726-3906
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 216193 Massachusetts

Profile Details

NPI number 1508825951
LBN Legal business name Ahern, Richard L
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 7th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508825951 NPPES
Massachusetts MEDICAID 0713325

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