Cao, Kelly H
Cao, Kelly H is an individual health care provider with primary practice located at 364 Burncoat St , Worcester MA 01606-3129. She recently has only one registered license in Chiropractic Providers / Internist, which is considered as her primary health care specialty. Cao, Kelly H can be contacted via phone (508) 752-5150.Contact Information
Primary practice address
364 Burncoat St
Worcester MA 01606-3129
Phone: (508) 752-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 2627 | Massachusetts |
Profile Details
| NPI number | 1265575286 |
|---|---|
| LBN Legal business name | Cao, Kelly H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jan 10th, 2008 - about 16 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 | 1265575286 | NPPES |
| Massachusetts | MEDICAID | 1601148 |
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