Chadderdon, Allysa Evelyn
Chadderdon, Allysa Evelyn is an individual health care provider with primary practice located at 5 Branch St Ste 100 , Methuen MA 01844-1979. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chadderdon, Allysa Evelyn can be contacted via phone (978) 620-2020.Contact Information
Primary practice address
5 Branch St Ste 100
Methuen MA 01844-1979
Phone: (978) 620-2020
Fax: (978) 620-2299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA4814 | Massachusetts |
Profile Details
| NPI number | 1023367174 |
|---|---|
| LBN Legal business name | Chadderdon, Allysa Evelyn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2012 |
| Last updated | Oct 21st, 2022 - about 2 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 | 1023367174 | NPPES |
| New York | MEDICAID | 03497550 |
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