Desrochers, Marian J

Desrochers, Marian J is an individual health care provider with primary practice located at 246 Walnut St , Newton MA 02460-1639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Desrochers, Marian J can be contacted via phone (617) 244-3322.

Contact Information

Primary practice address
246 Walnut St Newton MA 02460-1639
Phone: (617) 244-3322
Fax: (617) 244-1827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 046248-23 New Hampshire

Profile Details

NPI number 1225008592
LBN Legal business name Desrochers, Marian J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 11th, 2014 - about 12 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 1225008592 NPPES
New Hampshire MEDICAID 30342403

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