Cesa, Kenneth G

Cesa, Kenneth G is an sole proprietor health care provider with primary practice located at 290 Essex St , Beverly MA 01915-1944. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cesa, Kenneth G can be contacted via phone (978) 927-0600.

Contact Information

Primary practice address
290 Essex St Beverly MA 01915-1944
Fax: (978) 927-0600
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MA 1622 Massachusetts

Profile Details

NPI number 1013901628
LBN Legal business name Cesa, Kenneth G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Feb 17th, 2014 - about 8 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 1013901628 NPPES
Massachusetts MEDICAID 0341401
Massachusetts Other CEY70699

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