Minkin, Edith Susan
Minkin, Edith Susan is an individual health care provider with primary practice located at 105 Webster St Ste 8, Hanover MA 02339-1227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Minkin, Edith Susan can be contacted via phone (781) 754-6545.Contact Information
Primary practice address
105 Webster St Ste 8
Hanover MA 02339-1227
Phone: (781) 754-6545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 149267 | Massachusetts |
Profile Details
| NPI number | 1245377480 |
|---|---|
| LBN Legal business name | Minkin, Edith Susan |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Sep 8th, 2016 - about 10 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 | 1245377480 | NPPES |
| Massachusetts | MEDICAID | 110091463A |
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