Ennis, Cynthia A

Ennis, Cynthia A is an individual health care provider with primary practice located at 55 Lake Ave N Umass Memorial Medical Center, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Ennis, Cynthia A can be contacted via phone (508) 334-3452.

Contact Information

Primary practice address
55 Lake Ave N Umass Memorial Medical Center Worcester MA 01655-0002
Phone: (508) 334-3452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 226634 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 226634 Massachusetts

Profile Details

NPI number 1881631489
LBN Legal business name Ennis, Cynthia A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 31st, 2020 - about 4 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 1881631489 NPPES
Massachusetts MEDICAID 110082449A

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