Corliss, Nancy Hunter
Corliss, Nancy Hunter is an individual health care provider with primary practice located at 1244 Boylston St Suite 306, Chestnut Hill MA 02467-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Corliss, Nancy Hunter can be contacted via phone (617) 731-0058.Contact Information
Primary practice address
1244 Boylston St Suite 306
Chestnut Hill MA 02467-2116
Phone: (617) 731-0058
Fax: (617) 731-0285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 150599 | Massachusetts |
Profile Details
| NPI number | 1699763482 |
|---|---|
| LBN Legal business name | Corliss, Nancy Hunter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Aug 10th, 2010 - about 16 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 | 1699763482 | NPPES |
| Massachusetts | Other | J17723 | BLUE CROSS |
| Massachusetts | Other | UNITED | BLUE CROSS |
| Massachusetts | Other | 150599 | BLUE CROSS |
| Massachusetts | MEDICAID | 316673 | BLUE CROSS |
| Massachusetts | Other | 66569BI | BLUE CROSS |
| Massachusetts | Other | B10214301 | BLUE CROSS |
| Massachusetts | Other | 0804296 | BLUE CROSS |
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