Casavant, David Walter
Casavant, David Walter is an individual health care provider with primary practice located at 55 Fruit St Ell 317, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Casavant, David Walter can be contacted via phone (617) 724-4380.Contact Information
Primary practice address
55 Fruit St Ell 317
Boston MA 02114-2621
Phone: (617) 724-4380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 155793 | Massachusetts |
Profile Details
| NPI number | 1720069990 |
|---|---|
| LBN Legal business name | Casavant, David Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720069990 | NPPES |
| Massachusetts | Other | 155793 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J18840 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3183947 | TUFTS HEALTH PLAN |
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