Beaudry, Elizabeth

Beaudry, Elizabeth is an individual health care provider with primary practice located at 306 Liberty St , Rockland MA 02370-1355. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Beaudry, Elizabeth can be contacted via phone (617) 548-6778.

Contact Information

Primary practice address
306 Liberty St Rockland MA 02370-1355
Phone: (617) 548-6778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 8472 Massachusetts

Profile Details

NPI number 1790825859
LBN Legal business name Beaudry, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jun 28th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790825859 NPPES
Massachusetts Other OT0170 BCBS PROVIDER ID

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