Corr, Joan M

Corr, Joan M is an individual health care provider with primary practice located at 128 Eliot Ave , West Newton MA 02465-1728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Corr, Joan M can be contacted via phone (617) 965-6704.

Contact Information

Primary practice address
128 Eliot Ave West Newton MA 02465-1728
Fax: (617) 663-6322
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 56972 Massachusetts

Profile Details

NPI number 1841208659
LBN Legal business name Corr, Joan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 24th, 2011 - about 14 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 1841208659 NPPES
Massachusetts Other J09606 BCBS

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