Deyeso, Veronica O

Deyeso, Veronica O is an sole proprietor health care provider with primary practice located at 261 South St , Pittsfield MA 01201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Deyeso, Veronica O can be contacted via phone (413) 443-9082.

Contact Information

Primary practice address
261 South St Pittsfield MA 01201
Phone: (413) 443-9082
Fax: (413) 443-0361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 50760 Massachusetts

Profile Details

NPI number 1508967456
LBN Legal business name Deyeso, Veronica O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jun 19th, 2017 - about 8 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 1508967456 NPPES
Massachusetts MEDICAID 110064823A
Massachusetts Other TP806
Massachusetts MEDICAID 6181015
Massachusetts MEDICAID 7100461120

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