Blake, Rebecca Eve O'Donnell

Blake, Rebecca Eve O'Donnell is an individual health care provider with primary practice located at 52 Second Ave , Waltham MA 02451-1127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blake, Rebecca Eve O'Donnell can be contacted via phone (781) 487-6181.

Contact Information

Primary practice address
52 Second Ave Waltham MA 02451-1127
Phone: (781) 487-6181
Fax: (781) 487-6826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA6527 Massachusetts

Profile Details

NPI number 1043700214
LBN Legal business name Blake, Rebecca Eve O'Donnell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2018
Last updated Sep 5th, 2023 - about 3 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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