Fine, Joan S
Fine, Joan S is an individual health care provider with primary practice located at 123 Dwight Rd Suite 11, Longmeadow MA 01106-1748. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fine, Joan S can be contacted via phone (413) 567-1031.Contact Information
Primary practice address
123 Dwight Rd Suite 11
Longmeadow MA 01106-1748
Phone: (413) 567-1031
Fax: (413) 567-7683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52269 | Massachusetts |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 52269 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 039117 | Connecticut |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 039117 | Connecticut |
Profile Details
| NPI number | 1558338954 |
|---|---|
| LBN Legal business name | Fine, Joan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558338954 | NPPES |
| Massachusetts | MEDICAID | 6184928 |
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