Berube, Nancy D.
Berube, Nancy D. is an individual health care provider with primary practice located at 121 Lincoln St , Worcester MA 01605-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berube, Nancy D. can be contacted via phone (508) 756-0514.Contact Information
Primary practice address
121 Lincoln St
Worcester MA 01605-2429
Phone: (508) 756-0514
Fax: (508) 756-0843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 57314 | Massachusetts |
Profile Details
NPI number | 1538131867 |
---|---|
LBN Legal business name | Berube, Nancy D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Jan 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538131867 | NPPES |
Massachusetts | MEDICAID | 2002515 |
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