Layne, Philip R

Layne, Philip R is an individual health care provider with primary practice located at 69 Cornell St , New Bedford MA 02740-1748. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Layne, Philip R can be contacted via phone (508) 996-5400.

Contact Information

Primary practice address
69 Cornell St New Bedford MA 02740-1748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1385 Massachusetts

Profile Details

NPI number 1528043122
LBN Legal business name Layne, Philip R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528043122 NPPES
Massachusetts MEDICAID 0309178

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