Carmody, Janis
Carmody, Janis is an individual health care provider with primary practice located at 100 Brooksby Village Dr , Peabody MA 01960-1438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Carmody, Janis can be contacted via phone (978) 536-7850.Contact Information
Primary practice address
100 Brooksby Village Dr
Peabody MA 01960-1438
Phone: (978) 536-7850
Fax: (877) 280-9727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 117989 | Massachusetts |
Profile Details
| NPI number | 1326077124 |
|---|---|
| LBN Legal business name | Carmody, Janis |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326077124 | NPPES |
| Massachusetts | MEDICAID | 0706329 | |
| Massachusetts | Other | 8302607 | |
| Massachusetts | Other | NP2494 |
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