Medich, Cynthia
Medich, Cynthia is an individual health care provider with primary practice located at 529 Pearl St , Brockton MA 02301-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Medich, Cynthia can be contacted via phone (508) 580-2211.Contact Information
Primary practice address
529 Pearl St
Brockton MA 02301-2825
Phone: (508) 580-2211
Fax: (508) 427-1772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 152784 | Massachusetts |
Profile Details
| NPI number | 1750476412 |
|---|---|
| LBN Legal business name | Medich, Cynthia |
| Credentials | PHD APRN PSYCHIATRIC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750476412 | NPPES |
| Massachusetts | Other | PN0824 | BLUE SHIELD |
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