Mccarthy, Mary Corliss
Mccarthy, Mary Corliss is an individual health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mccarthy, Mary Corliss can be contacted via phone (508) 559-0473.Contact Information
Primary practice address
1115 W Chestnut St
Brockton MA 02301-7501
Phone: (508) 559-0473
Fax: (508) 427-5361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 2743 | Massachusetts |
Profile Details
| NPI number | 1730411109 |
|---|---|
| LBN Legal business name | Mccarthy, Mary Corliss |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2010 |
| Last updated | Feb 9th, 2010 - about 15 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 | 1730411109 | NPPES |
| Massachusetts | Other | 2743 | PROFESSIONAL CHILD CARE QUALIFICATION REGISTRY |
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