Ingraham, Irving
Ingraham, Irving is an individual health care provider with primary practice located at 2 Essex Center Drive , Peabody MA 01960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ingraham, Irving can be contacted via phone (978) 532-6111.Contact Information
Primary practice address
2 Essex Center Drive
Peabody MA 01960
Phone: (978) 532-6111
Fax: (978) 532-6123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 45686 | Massachusetts |
Profile Details
| NPI number | 1073569760 |
|---|---|
| LBN Legal business name | Ingraham, Irving |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 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 | 1073569760 | NPPES |
| Massachusetts | MEDICAID | 3105199 |
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