Inacio, John Wayne

Inacio, John Wayne is an individual health care provider with primary practice located at 214 N Main St Suite 107, Natick MA 01760-1131. 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. Inacio, John Wayne can be contacted via phone (508) 650-1856.

Contact Information

Primary practice address
214 N Main St Suite 107 Natick MA 01760-1131
Phone: (508) 650-1856
Fax: (508) 653-9563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4097 Massachusetts

Profile Details

NPI number 1205837036
LBN Legal business name Inacio, John Wayne
Credentials P.T., A.T.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 2nd, 2008 - about 16 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 1205837036 NPPES
Massachusetts Other Y65359 MASSACHUSETTS BLUE CROSS BLUE SHIELD
Massachusetts Other 469186 MASSACHUSETTS BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 0370797 MASSACHUSETTS BLUE CROSS BLUE SHIELD

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