Abernethy, Vivian Elizabeth

Abernethy, Vivian Elizabeth is an individual health care provider with primary practice located at 720 Harrison Ave Dob-4, Boston MA 02118-2371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Abernethy, Vivian Elizabeth can be contacted via phone (617) 638-7480.

Contact Information

Primary practice address
720 Harrison Ave Dob-4 Boston MA 02118-2371
Phone: (617) 638-7480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 158788 Massachusetts

Profile Details

NPI number 1710960232
LBN Legal business name Abernethy, Vivian Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jun 16th, 2009 - about 16 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 1710960232 NPPES
Massachusetts MEDICAID 3198090

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