Andenmatten, Thalita
Andenmatten, Thalita is an individual health care provider with primary practice located at 203 Turnpike St , North Andover MA 01845-5042. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Andenmatten, Thalita can be contacted via phone (508) 857-7508.Contact Information
Primary practice address
203 Turnpike St
North Andover MA 01845-5042
Phone: (508) 857-7508
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Public Health | 1223D0001X | DL13282 | Massachusetts |
Dental Providers / Dental Public Health | 1223D0001X | DL13672 | Massachusetts |
Profile Details
NPI number | 1093237497 |
---|---|
LBN Legal business name | Andenmatten, Thalita |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2017 |
Last updated | Oct 13th, 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 | 1093237497 | NPPES |
Massachusetts | MEDICAID | 1093237497 |
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