Mckersie, Alicia M

Mckersie, Alicia M is an individual health care provider with primary practice located at 825 Washington Street Suite 240, Norwood MA 02062-3441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mckersie, Alicia M can be contacted via phone (781) 769-4660.

Contact Information

Primary practice address
825 Washington Street Suite 240 Norwood MA 02062-3441
Fax: (781) 769-0371
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1421 Massachusetts

Profile Details

NPI number 1093708216
LBN Legal business name Mckersie, Alicia M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 28th, 2008 - 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 1093708216 NPPES
Massachusetts Other P00193119 RR MEDICARE

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