Comeiro, Kenneth J.
Comeiro, Kenneth J. is an individual health care provider with primary practice located at 37 Friend St , Lynn MA 01902-3068. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Comeiro, Kenneth J. can be contacted via phone (781) 715-6633.Contact Information
Primary practice address
37 Friend St
Lynn MA 01902-3068
Phone: (781) 715-6633
Fax: (781) 268-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN209156 | Massachusetts |
Profile Details
| NPI number | 1104977354 |
|---|---|
| LBN Legal business name | Comeiro, Kenneth J. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Feb 5th, 2020 - about 6 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 | 1104977354 | NPPES |
| Massachusetts | MEDICAID | 0375420 |
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