Casserly, Alison Patrice
Casserly, Alison Patrice is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Casserly, Alison Patrice can be contacted via phone (508) 334-6206.Contact Information
Primary practice address
119 Belmont St
Worcester MA 01605-2903
Phone: (508) 334-6206
Fax: (508) 334-6083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1016239 | Massachusetts |
Profile Details
| NPI number | 1669000196 |
|---|---|
| LBN Legal business name | Casserly, Alison Patrice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2020 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669000196 | NPPES |
| Massachusetts | MEDICAID | 110164081A |
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