Kurtz Phelan, Dorothy H

Kurtz Phelan, Dorothy H is an individual health care provider with primary practice located at 100 Brooksby Village Dr , Peabody MA 01960-1438. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kurtz Phelan, Dorothy H can be contacted via phone (978) 536-7850.

Contact Information

Primary practice address
100 Brooksby Village Dr Peabody MA 01960-1438
Phone: (978) 536-7850
Fax: (978) 536-7851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD1030 Maine
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2374 Massachusetts

Profile Details

NPI number 1851499768
LBN Legal business name Kurtz Phelan, Dorothy H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 19th, 2023 - about last year

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 1851499768 NPPES
Maine Other 200148199 TAX ID #
Maine Other 03Y002802ME02 TAX ID #
Maine Other 22010099 TAX ID #
Maine Other 060678 TAX ID #
Maine Other 1841270642 TAX ID #
Maine Other 1851499768 TAX ID #

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