Ennis, Cynthia A
Ennis, Cynthia A is an individual health care provider with primary practice located at 55 Lake Ave N Umass Memorial Medical Center, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Ennis, Cynthia A can be contacted via phone (508) 334-3452.Contact Information
Primary practice address
55 Lake Ave N Umass Memorial Medical Center
Worcester MA 01655-0002
Phone: (508) 334-3452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 226634 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 226634 | Massachusetts |
Profile Details
| NPI number | 1881631489 |
|---|---|
| LBN Legal business name | Ennis, Cynthia A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 31st, 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 | 1881631489 | NPPES |
| Massachusetts | MEDICAID | 110082449A |
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