Flaherty, Alice Weaver

Flaherty, Alice Weaver is an individual health care provider with primary practice located at 15 Parkman St Wac 835, Boston MA 02114-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Flaherty, Alice Weaver can be contacted via phone (617) 724-9234.

Contact Information

Primary practice address
15 Parkman St Wac 835 Boston MA 02114-3117
Fax: (617) 726-4101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 157093 Massachusetts

Profile Details

NPI number 1396735601
LBN Legal business name Flaherty, Alice Weaver
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
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 1396735601 NPPES
Massachusetts Other J19557 BCBS MA
Massachusetts MEDICAID 3185702 BCBS MA
Massachusetts Other 793845 BCBS MA

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