Canedy, Eric D

Canedy, Eric D is an individual health care provider with primary practice located at 25 Needham St , Newton MA 02461-1615. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Canedy, Eric D can be contacted via phone (617) 964-6681.

Contact Information

Primary practice address
25 Needham St Newton MA 02461-1615
Phone: (617) 964-6681
Fax: (617) 630-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 5612 Massachusetts
Eye and Vision Services Providers / Optician 156FX1800X 568 New Hampshire

Profile Details

NPI number 1780600536
LBN Legal business name Canedy, Eric D
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780600536 NPPES
Massachusetts MEDICAID 0317454
Massachusetts MEDICAID 30750750

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