Katz, Adena S
Katz, Adena S is an individual health care provider with primary practice located at 265 Westgate Dr , Brockton MA 02301-1817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Katz, Adena S can be contacted via phone (800) 258-4674.Contact Information
Primary practice address
265 Westgate Dr
Brockton MA 02301-1817
Phone: (800) 258-4674
Fax: (508) 897-3198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 202846 | Massachusetts |
Profile Details
NPI number | 1417954520 |
---|---|
LBN Legal business name | Katz, Adena S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
Last updated | Jul 8th, 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 | 1417954520 | NPPES |
Massachusetts | MEDICAID | 2005093 | |
Massachusetts | Other | J26299 |
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