Attles, Margo D

Attles, Margo D is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Attles, Margo D can be contacted via phone (617) 629-6000.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Phone: (617) 629-6000
Fax: (617) 629-6090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002725 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5950 Massachusetts

Profile Details

NPI number 1790922144
LBN Legal business name Attles, Margo D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2009
Last updated Feb 16th, 2017 - about 8 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 1790922144 NPPES
Georgia MEDICAID 100002249A

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