Amenta, Peter Sebastian
Amenta, Peter Sebastian is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Amenta, Peter Sebastian can be contacted via phone (508) 334-0605.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 334-0605
Fax: (508) 856-5074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD.206952 | Louisiana |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MT188443 | Pennsylvania |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 206952 | Louisiana |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 290789 | Massachusetts |
Profile Details
NPI number | 1447460985 |
---|---|
LBN Legal business name | Amenta, Peter Sebastian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2007 |
Last updated | Feb 10th, 2022 - about 2 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 | 1447460985 | NPPES |
Mississippi | MEDICAID | 08829225 | |
Mississippi | MEDICAID | 2363654 |
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