Etherton, Mark Richard
Etherton, Mark Richard is an individual health care provider with primary practice located at 55 Fruit St Wacc 720, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Etherton, Mark Richard can be contacted via phone (617) 726-8459.Contact Information
Primary practice address
55 Fruit St Wacc 720
Boston MA 02114-2621
Phone: (617) 726-8459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 265436 | Massachusetts |
Profile Details
| NPI number | 1023375946 |
|---|---|
| LBN Legal business name | Etherton, Mark Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2012 |
| Last updated | Jan 23rd, 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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