Mcdonald, Mary Colleen
Mcdonald, Mary Colleen is an sole proprietor health care provider with primary practice located at 205 Western Ave , Cambridge MA 02139-3750. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdonald, Mary Colleen can be contacted via phone (617) 575-5620.Contact Information
Primary practice address
205 Western Ave
Cambridge MA 02139-3750
Phone: (617) 575-5620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 186295 | Massachusetts |
Profile Details
| NPI number | 1801956925 |
|---|---|
| LBN Legal business name | Mcdonald, Mary Colleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Nov 1st, 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 | 1801956925 | NPPES |
| Massachusetts | Other | NP4032 | BCBS MA |
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