Ennis, Cheryl A

Ennis, Cheryl A is an individual health care provider with primary practice located at 295 Varnum Ave Lowell General Hospital, Lowell MA 01854. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Ennis, Cheryl A can be contacted via phone (978) 937-6889.

Contact Information

Primary practice address
295 Varnum Ave Lowell General Hospital Lowell MA 01854
Phone: (978) 937-6889
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10783 New Hampshire

Profile Details

NPI number 1265425185
LBN Legal business name Ennis, Cheryl A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Sep 19th, 2012 - about 12 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 1265425185 NPPES
Other 22542240 TRICARE/CHAMPUS
Other 01Y002477NH01 TRICARE/CHAMPUS
Other 24483 TRICARE/CHAMPUS
MEDICAID 30204275 TRICARE/CHAMPUS
Other 351677 TRICARE/CHAMPUS
Other 079963 TRICARE/CHAMPUS
Other 783909 TRICARE/CHAMPUS

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