Mckersie, Alicia M
Mckersie, Alicia M is an individual health care provider with primary practice located at 825 Washington Street Suite 240, Norwood MA 02062-3441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mckersie, Alicia M can be contacted via phone (781) 769-4660.Contact Information
Primary practice address
825 Washington Street Suite 240
Norwood MA 02062-3441
Phone: (781) 769-4660
Fax: (781) 769-0371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1421 | Massachusetts |
Profile Details
| NPI number | 1093708216 |
|---|---|
| LBN Legal business name | Mckersie, Alicia M |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Feb 28th, 2008 - 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 | 1093708216 | NPPES |
| Massachusetts | Other | P00193119 | RR MEDICARE |
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