Falk, William Ellis
Falk, William Ellis is an individual health care provider with primary practice located at 15 Parkman St Psychiatry Outpatient Department Wac 812, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Falk, William Ellis can be contacted via phone (617) 726-5600.Contact Information
Primary practice address
15 Parkman St Psychiatry Outpatient Department Wac 812
Boston MA 02114-3117
Phone: (617) 726-5600
Fax: (617) 726-7541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 37722 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 37722 | Massachusetts |
Profile Details
| NPI number | 1003807918 |
|---|---|
| LBN Legal business name | Falk, William Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 18th, 2012 - about 13 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 | 1003807918 | NPPES |
| Massachusetts | Other | 037722 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2031574 | TUFTS HEALTH PLAN |
| Massachusetts | Other | C26043 | TUFTS HEALTH PLAN |
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