Massicotte, Emma

Massicotte, Emma is an individual health care provider with primary practice located at 195 School St Suite B, Manchester MA 01944-1700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Massicotte, Emma can be contacted via phone (978) 526-4800.

Contact Information

Primary practice address
195 School St Suite B Manchester MA 01944-1700
Fax: (978) 526-7179
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 218964 Massachusetts

Profile Details

NPI number 1821082660
LBN Legal business name Massicotte, Emma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated May 17th, 2010 - about 16 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 1821082660 NPPES
Massachusetts MEDICAID 2021196

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