Lahey, Edward T
Lahey, Edward T is an individual health care provider with primary practice located at 1 Kneeland St Fl 5 , Boston MA 02111-1529. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Lahey, Edward T can be contacted via phone (617) 636-6515.Contact Information
Primary practice address
1 Kneeland St Fl 5
Boston MA 02111-1529
Phone: (617) 636-6515
Fax: (617) 636-6809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN21157 | Massachusetts |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 230038 | Massachusetts |
Profile Details
| NPI number | 1265447965 |
|---|---|
| LBN Legal business name | Lahey, Edward T |
| Credentials | MD, DMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265447965 | NPPES |
| Massachusetts | Other | X09477 | BLUE SHIELD |
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