Berube, Nancy D.

Berube, Nancy D. is an individual health care provider with primary practice located at 121 Lincoln St , Worcester MA 01605-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berube, Nancy D. can be contacted via phone (508) 756-0514.

Contact Information

Primary practice address
121 Lincoln St Worcester MA 01605-2429
Phone: (508) 756-0514
Fax: (508) 756-0843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57314 Massachusetts

Profile Details

NPI number 1538131867
LBN Legal business name Berube, Nancy D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 24th, 2013 - about 13 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 1538131867 NPPES
Massachusetts MEDICAID 2002515

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