Chernack, Robert

Chernack, Robert is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as his primary health care specialty. Chernack, Robert can be contacted via phone (617) 629-6220.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Phone: (617) 629-6220
Fax: (617) 629-6248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 52333 Massachusetts

Profile Details

NPI number 1700941143
LBN Legal business name Chernack, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 8th, 2011 - about 13 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 1700941143 NPPES
Massachusetts MEDICAID 3178854
Massachusetts Other 0014437
Massachusetts Other 6239385-002
Massachusetts Other 052333
Massachusetts Other J11781
Massachusetts Other PB222

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