Kantor, Anna Lea
Kantor, Anna Lea is an sole proprietor health care provider with primary practice located at 1515 Allen St , Springfield MA 01118-1803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kantor, Anna Lea can be contacted via phone (413) 782-7646.Contact Information
Primary practice address
1515 Allen St
Springfield MA 01118-1803
Phone: (413) 782-7646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 143670 | Massachusetts |
Profile Details
| NPI number | 1659485902 |
|---|---|
| LBN Legal business name | Kantor, Anna Lea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1659485902 | NPPES |
| Massachusetts | Other | MK03513701 | MASS CONTROLLED SUBSTANCE |
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