Houck, Constance S
Houck, Constance S is an individual health care provider with primary practice located at 300 Longwood Ave Bader 3, Boston MA 02115-5724. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Houck, Constance S can be contacted via phone (617) 355-6457.Contact Information
Primary practice address
300 Longwood Ave Bader 3
Boston MA 02115-5724
Phone: (617) 355-6457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 75392 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 75392 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 75392 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 75392 | Massachusetts |
Profile Details
| NPI number | 1720056096 |
|---|---|
| LBN Legal business name | Houck, Constance S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Aug 20th, 2007 - about 17 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 | 1720056096 | NPPES |
| Massachusetts | MEDICAID | 3107353 |
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