Dors, Elaine
Dors, Elaine is an individual health care provider with primary practice located at 291 Independence Dr , Chestnut Hill MA 02467-3628. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dors, Elaine can be contacted via phone (617) 325-2800.Contact Information
Primary practice address
291 Independence Dr
Chestnut Hill MA 02467-3628
Phone: (617) 325-2800
Fax: (617) 541-7500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 97234 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 97234 | Massachusetts |
Profile Details
| NPI number | 1619940236 |
|---|---|
| LBN Legal business name | Dors, Elaine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1619940236 | NPPES |
| Massachusetts | Other | NP3263 | BLUE CROSS |
| Massachusetts | Other | PN422 | BLUE CROSS |
| Massachusetts | MEDICAID | 0355691 | BLUE CROSS |
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