Kelliher, Elinor Dickey
Kelliher, Elinor Dickey is an individual health care provider with primary practice located at 373 Park St , West Springfield MA 01089-3304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelliher, Elinor Dickey can be contacted via phone (413) 734-1001.Contact Information
Primary practice address
373 Park St
West Springfield MA 01089-3304
Phone: (413) 734-1001
Fax: (413) 736-4875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 158024 | Massachusetts |
Profile Details
| NPI number | 1750378139 |
|---|---|
| LBN Legal business name | Kelliher, Elinor Dickey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Feb 24th, 2012 - about 12 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 | 1750378139 | NPPES |
| Massachusetts | MEDICAID | 3185095 |
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