Konieczny, Rebecca Ann
Konieczny, Rebecca Ann is an individual health care provider with primary practice located at 323 Lowell St , Andover MA 01810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Konieczny, Rebecca Ann can be contacted via phone (978) 783-5000.Contact Information
Primary practice address
323 Lowell St
Andover MA 01810
Phone: (978) 783-5000
Fax: (978) 313-8180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 240048 | Massachusetts |
Profile Details
| NPI number | 1891822243 |
|---|---|
| LBN Legal business name | Konieczny, Rebecca Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891822243 | NPPES |
| Massachusetts | MEDICAID | 110087762A |
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