Kano, Rebecca J

Kano, Rebecca J is an individual health care provider with primary practice located at 1030 Main St , Waltham MA 02451-7447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kano, Rebecca J can be contacted via phone (617) 833-1590.

Contact Information

Primary practice address
1030 Main St Waltham MA 02451-7447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 227800 Massachusetts

Profile Details

NPI number 1134106123
LBN Legal business name Kano, Rebecca J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Nov 14th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134106123 NPPES
Massachusetts MEDICAID 110074072A

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