Wason, Kristin Farrell

Wason, Kristin Farrell is an sole proprietor health care provider with primary practice located at 725 Albany St General Internal Medicine, Boston MA 02118-2526. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wason, Kristin Farrell can be contacted via phone (617) 414-5951.

Contact Information

Primary practice address
725 Albany St General Internal Medicine Boston MA 02118-2526
Phone: (617) 414-5951
Fax: (617) 414-9157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X RN2262692 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN2262692 Massachusetts

Profile Details

NPI number 1366980302
LBN Legal business name Wason, Kristin Farrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2017
Last updated Sep 28th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366980302 NPPES
Massachusetts MEDICAID 110122621A

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