Kellogg, Susan E

Kellogg, Susan E is an individual health care provider with primary practice located at 900 Union St , Westborough MA 01581-5408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kellogg, Susan E can be contacted via phone (508) 871-0700.

Contact Information

Primary practice address
900 Union St Westborough MA 01581-5408
Phone: (508) 871-0700
Fax: (508) 616-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 275 Massachusetts

Profile Details

NPI number 1154301091
LBN Legal business name Kellogg, Susan E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 9th, 2018 - about 6 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 1154301091 NPPES
Other AP0289 MEDICARE B
Other 970013334 MEDICARE B
Other 042472266 MEDICARE B
Other 8300457 MEDICARE B
Other AP0289 MEDICARE B
Other 9900373 MEDICARE B
MEDICAID 110123231A MEDICARE B

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