Macrina, Leonard

Macrina, Leonard is an individual health care provider with primary practice located at 110 Clematis Ave Suite 2, Waltham MA 02453-7013. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Macrina, Leonard can be contacted via phone (617) 992-2984.

Contact Information

Primary practice address
110 Clematis Ave Suite 2 Waltham MA 02453-7013
Phone: (617) 992-2984
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH4256 Alabama
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 17706 Massachusetts

Profile Details

NPI number 1962432690
LBN Legal business name Macrina, Leonard
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 26th, 2017 - about 7 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 1962432690 NPPES
Alabama Other 7878489 AETNA
Alabama Other 51530163 AETNA
Alabama MEDICAID 890016400 AETNA

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