Detora, Nancy
Detora, Nancy is an individual health care provider with primary practice located at 105 Millbury St , Auburn MA 01501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Detora, Nancy can be contacted via phone (508) 832-9691.Contact Information
Primary practice address
105 Millbury St
Auburn MA 01501
Phone: (508) 832-9691
Fax: (508) 832-7670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48899 | Massachusetts |
Profile Details
| NPI number | 1689773095 |
|---|---|
| LBN Legal business name | Detora, Nancy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689773095 | NPPES |
| Massachusetts | MEDICAID | 3053997 |
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