Ahern, Richard L
Ahern, Richard L is an individual health care provider with primary practice located at 55 Fruit St Gray-Jackson 504, Boston MA 02114-2621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Ahern, Richard L can be contacted via phone (617) 726-3906.Contact Information
Primary practice address
55 Fruit St Gray-Jackson 504
Boston MA 02114-2621
Phone: (617) 726-3906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 216193 | Massachusetts |
Profile Details
| NPI number | 1508825951 |
|---|---|
| LBN Legal business name | Ahern, Richard L |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 7th, 2014 - about 11 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 | 1508825951 | NPPES |
| Massachusetts | MEDICAID | 0713325 |
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