Ketsler, Inna
Ketsler, Inna is an sole proprietor health care provider with primary practice located at 50 Memorial Dr Suite 202, Leominster MA 01453-2238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Ketsler, Inna can be contacted via phone (978) 466-5155.Contact Information
Primary practice address
50 Memorial Dr Suite 202
Leominster MA 01453-2238
Phone: (978) 466-5155
Fax: (978) 466-3853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 74268 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 74268 | Massachusetts |
Profile Details
| NPI number | 1417905720 |
|---|---|
| LBN Legal business name | Ketsler, Inna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jun 3rd, 2022 - about 4 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 | 1417905720 | NPPES |
| New Hampshire | Other | 2296 | HEALTHSOURCE |
| New Hampshire | Other | 469686 | HEALTHSOURCE |
| New Hampshire | Other | 23240 | HEALTHSOURCE |
| New Hampshire | MEDICAID | 3098176 | HEALTHSOURCE |
| New Hampshire | Other | J12941 | HEALTHSOURCE |
| New Hampshire | Other | 14738 | HEALTHSOURCE |
| New Hampshire | Other | 4800282 | HEALTHSOURCE |
| New Hampshire | Other | 97766601 | HEALTHSOURCE |
| New Hampshire | Other | 074268 | HEALTHSOURCE |
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