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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1124081625 NPPES
Massachusetts MEDICAID 3106438
Massachusetts Other J13603
Massachusetts Other CIGNA
Massachusetts Other 728557
Massachusetts Other 20844

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