Torkornoo, Mary
Torkornoo, Mary is an sole proprietor health care provider with primary practice located at 430 Massasoit Rd , Worcester MA 01604-3546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Torkornoo, Mary can be contacted via phone (508) 648-8533.Contact Information
Primary practice address
430 Massasoit Rd
Worcester MA 01604-3546
Phone: (508) 648-8533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN233266 | Massachusetts |
Profile Details
| NPI number | 1205334588 |
|---|---|
| LBN Legal business name | Torkornoo, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2018 |
| Last updated | Jun 26th, 2019 - about 7 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 | 1205334588 | NPPES |
| Massachusetts | MEDICAID | 233266 |
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