Smith, Ladybird Mary
Smith, Ladybird Mary is an individual health care provider with primary practice located at 128 4Th St Apt 1, Leominster MA 01453-6064. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Smith, Ladybird Mary can be contacted via phone (978) 602-5191.Contact Information
Primary practice address
128 4Th St Apt 1
Leominster MA 01453-6064
Phone: (978) 602-5191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | S81307853 | Massachusetts |
Profile Details
| NPI number | 1023772480 |
|---|---|
| LBN Legal business name | Smith, Ladybird Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2021 |
| Last updated | Oct 22nd, 2021 - 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 | 1023772480 | NPPES |
| Massachusetts | MEDICAID | 100004320311 |
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