Fistel, Amy Rena

Fistel, Amy Rena is an individual health care provider with primary practice located at 25 Needham St , Newton MA 02461-1615. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fistel, Amy Rena can be contacted via phone (617) 964-6681.

Contact Information

Primary practice address
25 Needham St Newton MA 02461-1615
Phone: (617) 964-6681
Fax: (617) 630-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 72 Massachusetts
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD00112 Rhode Island

Profile Details

NPI number 1952315269
LBN Legal business name Fistel, Amy Rena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952315269 NPPES
Massachusetts Other AD0149 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 5102154 BLUE CROSS BLUE SHIELD
Massachusetts Other 29016-4/411655 BLUE CROSS BLUE SHIELD

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