Ayano, Martha
Ayano, Martha is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ayano, Martha can be contacted via phone (508) 559-6699.Contact Information
Primary practice address
63 Main St
Brockton MA 02301-4042
Phone: (508) 559-6699
Fax: (508) 559-5073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | I29409 | Massachusetts |
Profile Details
| NPI number | 1205847050 |
|---|---|
| LBN Legal business name | Ayano, Martha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 14th, 2012 - about 13 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 | 1205847050 | NPPES |
| Massachusetts | Other | NP4299 | BLUE CROSS BLUE SHIELD |
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