Kershaw, Irene
Kershaw, Irene is an individual health care provider with primary practice located at 163 Libbey Industrial Pkwy Suite 302, Weymouth MA 02189-3137. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kershaw, Irene can be contacted via phone (781) 335-6663.Contact Information
Primary practice address
163 Libbey Industrial Pkwy Suite 302
Weymouth MA 02189-3137
Phone: (781) 335-6663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 220 | Massachusetts |
Profile Details
| NPI number | 1982744199 |
|---|---|
| LBN Legal business name | Kershaw, Irene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| 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 | 1982744199 | NPPES |
| Massachusetts | Other | OT0190 | BCBS PROVIDER ID |
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