Kenneally Chase, Jody A
Kenneally Chase, Jody A is an sole proprietor health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kenneally Chase, Jody A can be contacted via phone (617) 568-4477.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 280215 | Massachusetts |
Profile Details
| NPI number | 1932410123 |
|---|---|
| LBN Legal business name | Kenneally Chase, Jody A |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Jan 15th, 2013 - 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.
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