Ekstrom, Deborah K
Ekstrom, Deborah K is an individual health care provider with primary practice located at 39 Salisbury St , Worcester MA 01609-3160. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ekstrom, Deborah K can be contacted via phone (508) 755-4825.Contact Information
Primary practice address
39 Salisbury St
Worcester MA 01609-3160
Phone: (508) 755-4825
Fax: (508) 797-0167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 55916 | Massachusetts |
Profile Details
| NPI number | 1518916188 |
|---|---|
| LBN Legal business name | Ekstrom, Deborah K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518916188 | NPPES |
| Massachusetts | Other | 117238 | AETNA |
| Massachusetts | Other | 1300139 | AETNA |
| Massachusetts | Other | 320430 | AETNA |
| Massachusetts | Other | 61333 | AETNA |
| Massachusetts | Other | 21055 | AETNA |
| Massachusetts | Other | 711234 | AETNA |
| Massachusetts | Other | 99165001 | AETNA |
| Massachusetts | Other | M14797 | AETNA |
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