Deignan, Eileen M

Deignan, Eileen M is an individual health care provider with primary practice located at 290 Baker Ave , Concord MA 01742-2189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Deignan, Eileen M can be contacted via phone (978) 369-9023.

Contact Information

Primary practice address
290 Baker Ave Concord MA 01742-2189
Fax: (978) 371-9675
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 159436 Massachusetts

Profile Details

NPI number 1497723852
LBN Legal business name Deignan, Eileen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 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 1497723852 NPPES
Massachusetts MEDICAID 3203247

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