Farrell-Sanseverino, Denise L

Farrell-Sanseverino, Denise L is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Farrell-Sanseverino, Denise L can be contacted via phone (617) 421-1191.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1191
Fax: (617) 421-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1760532378
LBN Legal business name Farrell-Sanseverino, Denise L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Oct 29th, 2020 - about 5 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 1760532378 NPPES
Massachusetts MEDICAID 0360881
Massachusetts Other N984
Massachusetts Other HV0627
Massachusetts Other 9642747-001

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