Black-Schaffer, Randie M
Black-Schaffer, Randie M is an individual health care provider with primary practice located at 125 Nashua St Srh, Boston MA 02114-1101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Black-Schaffer, Randie M can be contacted via phone (617) 573-2770.Contact Information
Primary practice address
125 Nashua St Srh
Boston MA 02114-1101
Phone: (617) 573-2770
Fax: (617) 573-2769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 44943 | Massachusetts |
Profile Details
| NPI number | 1225010515 |
|---|---|
| LBN Legal business name | Black-Schaffer, Randie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1225010515 | NPPES |
| Massachusetts | MEDICAID | 2098369 | |
| Massachusetts | Other | B53105 | |
| Massachusetts | Other | 044943 |
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