Kaselis, Edith Sanborn
Kaselis, Edith Sanborn is an individual health care provider with primary practice located at 179 Route 6A , Yarmouth Port MA 02675-1714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kaselis, Edith Sanborn can be contacted via phone (508) 833-0269.Contact Information
Primary practice address
179 Route 6A
Yarmouth Port MA 02675-1714
Phone: (508) 833-0269
Fax: (508) 833-1467
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 75612 | Massachusetts |
Profile Details
NPI number | 1124081625 |
---|---|
LBN Legal business name | Kaselis, Edith Sanborn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
Last updated | Oct 31st, 2011 - about 13 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 | 1124081625 | NPPES |
Massachusetts | MEDICAID | 3106438 | |
Massachusetts | Other | J13603 | |
Massachusetts | Other | CIGNA | |
Massachusetts | Other | 728557 | |
Massachusetts | Other | 20844 |
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