Fennell, Declan E

Fennell, Declan E is an individual health care provider with primary practice located at 16 Sycamore Rd , Braintree MA 02184-7308. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fennell, Declan E can be contacted via phone (617) 333-8389.

Contact Information

Primary practice address
16 Sycamore Rd Braintree MA 02184-7308
Phone: (617) 333-8389
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13347 Massachusetts

Profile Details

NPI number 1366481608
LBN Legal business name Fennell, Declan E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 7th, 2023 - about 2 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 1366481608 NPPES
Massachusetts Other 603413 HARVARD PILGRIM
Massachusetts Other 102302300 HARVARD PILGRIM
Massachusetts Other 6440025 HARVARD PILGRIM
Massachusetts Other Y67710 HARVARD PILGRIM
Massachusetts Other 458473 HARVARD PILGRIM
Massachusetts Other 8211 HARVARD PILGRIM

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