Mattison, Melissa Lowe Plocher
Mattison, Melissa Lowe Plocher is an sole proprietor health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mattison, Melissa Lowe Plocher can be contacted via phone (617) 754-4677.Contact Information
Primary practice address
330 Brookline Ave
Boston MA 02215-5400
Phone: (617) 754-4677
Fax: (617) 632-0215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 205609 | Massachusetts |
Profile Details
| NPI number | 1154310670 |
|---|---|
| LBN Legal business name | Mattison, Melissa Lowe Plocher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154310670 | NPPES |
| Massachusetts | MEDICAID | 2021927 |
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