Henderson, Mariah Swiech
Henderson, Mariah Swiech is an sole proprietor health care provider with primary practice located at 124 Professors Row , Medford MA 02155-5816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henderson, Mariah Swiech can be contacted via phone (617) 627-7947.Contact Information
Primary practice address
124 Professors Row
Medford MA 02155-5816
Phone: (617) 627-7947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA5908 | Massachusetts |
Profile Details
| NPI number | 1104376904 |
|---|---|
| LBN Legal business name | Henderson, Mariah Swiech |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Mar 23rd, 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.
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