Abbott, Alice Mccormick

Abbott, Alice Mccormick is an sole proprietor health care provider with primary practice located at 421 N Main St , Leeds MA 01053-9764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Abbott, Alice Mccormick can be contacted via phone (413) 584-4040.

Contact Information

Primary practice address
421 N Main St Leeds MA 01053-9764
Phone: (413) 584-4040
Fax: (413) 773-8435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 78634 Massachusetts

Profile Details

NPI number 1922096205
LBN Legal business name Abbott, Alice Mccormick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Jul 23rd, 2010 - about 15 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 1922096205 NPPES
Massachusetts MEDICAID 3141691
Massachusetts Other J31132

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