Knights, Edwin Brooke

Knights, Edwin Brooke is an individual health care provider with primary practice located at 321 Main St , Acton MA 01720-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Knights, Edwin Brooke can be contacted via phone (978) 263-1131.

Contact Information

Primary practice address
321 Main St Acton MA 01720-3718
Fax: (978) 263-1562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41857 Massachusetts

Profile Details

NPI number 1801885512
LBN Legal business name Knights, Edwin Brooke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Mar 29th, 2011 - about 13 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 1801885512 NPPES
Massachusetts MEDICAID 2067536

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